Active NPI
Lisa Michelle Smith, PT
- Physical Therapist
- Camp Pendleton, CA
National Provider Identifier
1205951340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15080
- Practice address
- 200 Mercy Circle
Box 555191 Naval Hospital Camp Pendleton
Camp Pendleton, CA 92055 - Phone
- (760) 719-3675
- NPI assigned
- Mar 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38474 | FL | |
| Physical Therapist | 225100000X | 15080 | CA | Primary |
Addresses
Primary practice location
200 Mercy Circle
Box 555191 Naval Hospital Camp Pendleton
Camp Pendleton, CA 92055
Mailing address
200 Mercy Circle Box 555191
Naval Hospital Camp Pendleton
Camp Pendleton, CA 92055
Phone (760) 725-7159
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38474 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhodes Physical Therapy of Ca Apc | Physical Therapist | Past | Accepting new patients |
| Scor Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Ann Steinfeld Physical Therapy | Past | Accepting new patients |
Organizations & group practices 3
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
- Costa Mesa, CA
- NPI 1760402515
-
- Physical Therapist
- Costa Mesa, CA
- NPI 1528944915
-
- Physical Therapy Clinic/Center
- San Clemente, CA
- NPI 1881795375
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1205951340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE BOX 555191",
"address_2": "NAVAL HOSPITAL CAMP PENDLETON",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-725-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"address_2": "BOX 555191 NAVAL HOSPITAL CAMP PENDLETON",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-719-3675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LISA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "38474",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "15080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Pendleton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.