Individual provider Active NPI

Lisa Kay Anthony, PT,MSPT, DPT

  • Physical Therapist
  • Hixson, TN
National Provider Identifier
1215966106
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000003318 Issued in TN
Practice address
4513 Hixson Pike
Hixson, TN 37343-5039
Phone
(615) 614-8833
NPI assigned
Jul 2, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0000003318 TN Primary
Pediatric Physical Therapist 2251P0200X PT0000003318 TN

Addresses

Primary practice location

4513 Hixson Pike
Hixson, TN 37343-5039

Mailing address

90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007

Other practice location 1

409 S Saint Marks Ave
Chattanooga, TN 37412-2961
Phone (423) 762-3273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050425001218 TN Practitioner - Physical Therapist in Private Practice 4880633312 Reassigns benefits to 3 organizations
I20240627000156 GA Practitioner - Physical Therapist in Private Practice 4880633312 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0000003318TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince May 14, 2024 Accepting new patients
The Weston Group of Tennessee Inc Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
The Weston Group Inc. Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
The Weston Group Inc. Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince Jan 5, 2015 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince May 14, 2024 Accepting new patients
University of Tennessee Past Accepting new patients
University of Tennessee PastSince Mar 4, 2021 Accepting new patients
North Georgia Pediatric Therapies, LLC Physical Therapist Past Accepting new patients
North Georgia Pediatric Therapies, LLC Physical Therapist Past Accepting new patients

Locations

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

1502 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 453-4613

960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2849

614 Mabry Hood Rd
Ste 301
Knoxville, TN 37932
Phone (865) 474-8410

Organizations & group practices 10

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1215966106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-633-1007",
            "fax_number": "502-805-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435039",
            "telephone_number": "615-614-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 S Saint Marks Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374122961",
            "country_code": "US",
            "telephone_number": "423-762-3273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "LISA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PT,MSPT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000003318",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "PT0000003318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.