Active NPI
Lisa Maria Hanson, LPTA
- Physical Therapy Assistant
- Leonardtown, MD
National Provider Identifier
1184847899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A1820
- Practice address
- 21585 Peabody St
Leonardtown, MD 20650-2955 - Phone
- (301) 475-8000
- Fax
- (301) 997-1461
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A1820 | MD | Primary |
Addresses
Primary practice location
21585 Peabody St
Leonardtown, MD 20650-2955
Mailing address
778 Lazy River Rd
Lusby, MD 20657-3736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1820 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184847899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "778 LAZY RIVER RD",
"city": "LUSBY",
"state": "MD",
"postal_code": "206573736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21585 PEABODY ST",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502955",
"telephone_number": "301-475-8000",
"fax_number": "301-997-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "LISA",
"middle_name": "MARIA",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A1820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.