Active NPI
Lisa M Stensrud, PT
- Physical Therapist
- Mount Sterling, KY
National Provider Identifier
1194903575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8021
- Practice address
- 39 S Maysville St
Mount Sterling, KY 40353-1354 - Phone
- (859) 520-3171
- Fax
- (859) 520-3289
- NPI assigned
- Feb 7, 2008
- Reactivated
- May 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 8021 | MN | Primary |
Addresses
Primary practice location
39 S Maysville St
Mount Sterling, KY 40353-1354
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01021860 | Other | MN | MCR RAILROAD MEDICARE |
| ENROLLED | Medicaid | MN |
Other names 1
- Lisa M Schmidt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171227001669 | KY | Practitioner - Physical Therapist in Private Practice | 3072697366 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8021 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Equine Rehab Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Mount Sterling, KY
- NPI 1770309031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1194903575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 S MAYSVILLE ST",
"city": "MOUNT STERLING",
"state": "KY",
"postal_code": "403531354",
"telephone_number": "859-520-3171",
"fax_number": "859-520-3289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STENSRUD",
"first_name": "LISA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-07",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"deactivation_date": "2023-05-04",
"reactivation_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR RAILROAD MEDICARE",
"identifier": "P01021860",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "SCHMIDT",
"middle_name": "M",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mount Sterling, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.