Individual provider Active NPI

Lisa M. Johnson, DPT

  • Orthopedic Physical Therapist
  • Sarasota, FL
National Provider Identifier
1215015920
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA02278300 Issued in NJ
Practice address
1451 2ND St
Sarasota, FL 34236-4905
Phone
(941) 525-8578
Fax
(941) 925-9027
NPI assigned
Nov 1, 2006
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013416-1 NY
Orthopedic Physical Therapist 2251X0800X PT 30836 FL
Orthopedic Physical Therapist 2251X0800X 40QA02278300 NJ Primary

Addresses

Primary practice location

1451 2ND St
Sarasota, FL 34236-4905

Mailing address

5997 Anise Dr
Sarasota, FL 34238-5145
Phone (516) 456-3338

Other practice location 1

25A Vreeland Rd Ste 104
Florham Park, NJ 07932-1918
Phone (973) 736-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627002383 FL Practitioner - Physical Therapist in Private Practice 7012975451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lisa Johnson Physical Therapy PLLCGroup PAC ID 7618254152, 4 clinicians

Practice addresses (Care Compare)

1451 2ND St
Sarasota, FL 34236-4905
Phone (941) 203-8705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013416-1NYMDPhysical Therapist
PT 30836FLMDOrthopedic Physical Therapist
40QA02278300NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Johnson Physical Therapy, PLLC Physical Therapist CurrentSince Jul 9, 2014 Accepting new patients
Sports and Orthopedic Rehabilitation Services, Inc. PastSince Mar 5, 2023 Accepting new patients
Physio Med of Sarasota Inc Physical Therapist Past Accepting new patients
Regional Womens Health Group LLC Physical Therapist Past Accepting new patients

Locations

1451 2nd St
Sarasota, FL 34236
Phone (941) 203-8705

385 S Maple Ave
Ste 105
Glen Rock, NJ 07452

Interoperability endpoints

  • Direct secure messaging: lisa.johnson.p2@direct.shproviders.nextgenshare.com

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1215015920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5997 ANISE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385145",
            "telephone_number": "516-456-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 2ND ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364905",
            "telephone_number": "941-525-8578",
            "fax_number": "941-925-9027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25A Vreeland Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Florham Park",
            "state": "NJ",
            "postal_code": "079321918",
            "country_code": "US",
            "telephone_number": "973-736-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013416-1",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT 30836",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA02278300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.