Lisa Spera, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA15210 Issued in FL

Practice address

4602 Marigold Ave
Kissimmee, FL 34758-4342

Phone

(863) 300-1100

NPI assigned

Jul 17, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1205489507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8477 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465028",
            "telephone_number": "352-382-7214",
            "fax_number": "352-382-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 MARIGOLD AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584342",
            "telephone_number": "863-300-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERA",
        "first_name": "LISA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA15210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Speer, OT
• Steven O. Speiser, M.D.
• Spektrum Academy LLC
• Sanjae Arkal Spencer, MD
• Zynia Spencer, MS, RMFTI
• Spinal Health Care of Orlando, P.a.
• Agnaldo Spindola, HUB-CMI
• Joseph Spizzirri, PA-C
• Taahira Spraggins
• Emilly Kathleen Spriggs, DO

• Physical Therapy Assistant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.