Individual provider Active NPI

Lisa Heymann

  • Physical Therapist
  • Morris Plains, NJ
National Provider Identifier
1215381454
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01523700 Issued in NJ
Practice address
2467 Route 10
38-4B
Morris Plains, NJ 07950-1357
Phone
(412) 996-6234
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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 40QA01523700 NJ Primary

Addresses

Primary practice location

2467 Route 10
38-4B
Morris Plains, NJ 07950-1357

Mailing address

1825 Foxcroft LN Apt 403
Allison Park, PA 15101-3256
Phone (412) 996-6234

Other names 1

  • Lisa Haddad Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA01523700NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1215381454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 FOXCROFT LN APT 403",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013256",
            "telephone_number": "412-996-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2467 ROUTE 10",
            "address_2": "38-4B",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501357",
            "telephone_number": "412-996-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYMANN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01523700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HADDAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morris Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.