Lisa M Quinnan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34471 Issued in FL

Practice address

7101 Dr M.L.K. Jr Street N
St.Petersburg, FL 33702

Phone

(727) 527-7231

NPI assigned

Mar 23, 2007

Last updated

Aug 13, 2021By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1336535988
  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Balance Center of Las Vegas, LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1104021419
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1205953668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 FRANKLIN WAY",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986315",
            "telephone_number": "570-575-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 DR M.L.K. JR STREET N",
            "city": "ST.PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "727-527-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINNAN",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-08-13",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-007330-L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE FLORIDA",
            "identifier": "34471",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "PT-007330-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Brozyna, LMSW
• Altamease Caldwell, RN
• Bianca Capo, BCABA
• Vincent Ford
• Amanda Y Lim, PHARMD.
• Sarah Shay, RN
• The Listening Garden, LLC
• Maria Viking, ARNP
• Bernard John Yukna, M.D.

• Physical Therapist in St.Petersburg, FL
• Providers in St.Petersburg, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.

Verify at the official NPI Registry.