Active NPI
Lisa Nebel, DPT
- Physical Therapist
- Kaukauna, WI
National Provider Identifier
1225167125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5968-024
- Practice address
- 316 E 14TH St
Kaukauna, WI 54130-3304 - Phone
- (920) 766-6020
- Fax
- (920) 759-1937
- NPI assigned
- Mar 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5968-024 | WI | Primary |
Addresses
Primary practice location
316 E 14TH St
Kaukauna, WI 54130-3304
Mailing address
3301 Blueberry LN
Appleton, WI 54915-7223
Phone (920) 831-0120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40321700 | Medicaid | WI |
Other names 1
- Lisa Ogorek
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5968-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225167125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 BLUEBERRY LN",
"city": "APPLETON",
"state": "WI",
"postal_code": "549157223",
"telephone_number": "920-831-0120",
"fax_number": "920-759-1937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 E 14TH ST",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541303304",
"telephone_number": "920-766-6020",
"fax_number": "920-759-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEBEL",
"first_name": "LISA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5968-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40321700",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "OGOREK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kaukauna, WI
- Thomas K Moeller, D.D.S.
- Stacy Leigh Mohr, M.D.
- Morton Drug Co Inc (Morton Pharmacy)
- Ms-Ac Kaukauna Senior Living, LLC (The Landings of Kaukauna)
- Marc Ndabaramiye
- New Wellness Associates, Inc. (New Wellness Associates)
- Northeast Wisconsin Wellness Associates, LLC
- Orthopedic & Spine Therapy of Menasha, SC
- Orthopedic and Spine Therapy of Menasha SC
- Andrew C Pahl, M.D.
Sources for this page
- 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.