Lisa Schroeder Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8243 Issued in MA

Legal business name

LISA SCHROEDER PHYSICAL THERAPY

Practice address

7 East Meadow Lane
Oak Bluffs, MA 02557-0768

Phone

(310) 628-4885

Fax

(213) 477-2139

NPI assigned

Dec 4, 2014

Last updated

Dec 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Anne Schroeder, PT OCSNPI 1124169305

Title

Owner/Physical Therapist

Phone

(310) 628-4885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Anne Schroeder, P.T., O.C.S.

  • Orthopedic Physical Therapist
  • Oak Bluffs, MA
  • NPI 1124169305
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1215334388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025570768",
            "telephone_number": "310-628-4885",
            "fax_number": "213-477-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EAST MEADOW LANE",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025570768",
            "telephone_number": "310-628-4885",
            "fax_number": "213-477-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA SCHROEDER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "310-628-4885",
        "authorized_official_credential": "PT OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter J Laursen, MD
• Michele Lazerow, DC, LIC.AC.
• Michele Denise Leblanc, RN, BSN
• Nancy E Leport, CNM
• Lifeguard Medical Group,LLC
• Joseph Martin Litwak, MD
• Stephen Wesley London, M.D.
• Jean Curtis Loud, ED.D.
• Emanna Louis, M.A.
• Lindsay Anne Lynn, MD

• Physical Therapist in Oak Bluffs, MA
• Providers in Oak Bluffs, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.