Individual provider Active NPI

Lisa S Mitjans

  • Physical Therapist
  • Hudson, MA
National Provider Identifier
1205718145
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6049 Issued in MA
Practice address
136 Central St Apt C9
Hudson, MA 01749-1376
Phone
(508) 202-1120
NPI assigned
Jul 22, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6049 MA Primary

Addresses

Primary practice location

136 Central St Apt C9
Hudson, MA 01749-1376

Mailing address

136 Central St Apt C9
Hudson, MA 01749-1376
Phone (508) 202-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729001228 MA Practitioner - Physical Therapist in Private Practice 9234646811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilient Healthcare Services PLLCGroup PAC ID 5193263325, 3 clinicians

Practice addresses (Care Compare)

136 Central St
Apt C9
Hudson, MA 01749-1376
Phone (508) 202-1120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6049MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Healthcare Services PLLC Physical Therapist CurrentSince Jul 22, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1205718145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 CENTRAL ST APT C9",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017491376",
            "telephone_number": "508-202-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 CENTRAL ST APT C9",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017491376",
            "telephone_number": "508-202-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITJANS",
        "first_name": "LISA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "6049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.