Lisa A Angel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070016002 Issued in IL

Practice address

3401 N Perryville Rd
Physical Therapy Dept
Rockford, IL 61114-8011

Phone

(815) 971-2000

Fax

(815) 971-9109

NPI assigned

Oct 7, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carlson Orthopedic Clinic SC

  • Specialist
  • Rockford, IL
  • NPI 1245342666
  NPD (past)
• Orthopedic Associates of Northern Illinois, LLC

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1740277102
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1225289358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N PERRYVILLE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148011",
            "telephone_number": "815-971-2000",
            "fax_number": "815-971-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N PERRYVILLE RD",
            "address_2": "PHYSICAL THERAPY DEPT",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148011",
            "telephone_number": "815-971-2000",
            "fax_number": "815-971-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGEL",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLIINOIS LICENSE",
            "identifier": "070016002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrine Andreasen, D.M.D., MS
• Rizalyn Andres
• Erin Andrews
• Laura Lynn Andrews, LMT
• Ksenia Andronova, DDS
• Cathrina Anne Angeles, AUD
• Andrea Marie Angileri, MA.ED
• Nneka Nicky Anizoba, RPH
• Shamshad A. Anjum, MD
• Ann James Counseling, LLC

• Physical Therapist in Rockford, IL
• Providers in Rockford, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.