Lisa Ally, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9103925 Issued in FL

Practice address

10205 S Dixie Hwy
102
Pinecrest, FL 33156-3167

Phone

(305) 666-0496

NPI assigned

Jun 13, 2007

Last updated

Oct 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Pinecrest, FL
  • NPI 1770719296
  Medicare reassignment
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1366634172
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1194929216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 N 75TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245351",
            "telephone_number": "305-298-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 S DIXIE HWY",
            "address_2": "102",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563167",
            "telephone_number": "305-666-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLY",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9103925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Above & Beyond Behavior Development, Inc.
• Julian Daniel Abreu
• Luis Aguirre
• Omar Ali Ahmed Matamoros, RN
• Allbetech Inc
• Alpph Medical Services Corp
• Rosina Esther Altamiranda, MH11013
• Cari Altman, M.S.ED.
• Olidaysi Alvarez Diaz, APRN
• Mayaly Venegas Alvarez, MH10727

• Physician Assistant in Pinecrest, FL
• Providers in Pinecrest, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.