Lisa Smith, MPT

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

1048445 Issued in TX

Practice address

2200 Bergquist Dr Ste 1
Attn: Credentials
Lackland a F B, TX 78236-9908

Phone

(210) 292-5034

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225118920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 REESE ST BLDG 1285",
            "address_2": "BOX 128",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782361042",
            "telephone_number": "505-693-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR STE 1",
            "address_2": "ATTN: CREDENTIALS",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "TX",
            "license": "1048445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Slawinski, MD
• Daniel James Smith, DMD
• Evan Gregory Smith
• Jeanne Kowal Smith, PT
• Keith R. Smith, PMHNP, BC
• Marley Cranford Smith, LCSW
• Jill L Sterling, M.D.
• Julie Michelle Storey, PH.D.
• Charles A Stulga, D.C.
• D'Anna Linda-Marie Sullivan

• Military Health Care Provider in Lackland a F B, TX
• Providers in Lackland a F B, TX by specialty
• Military Health Care Provider in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.