Lisa Renee Anderson, LPTA
Individual provider Active NPI Physical Therapy Assistant · Collinsville, MS
NPI 1255485199 · NPPES record last updated May 15, 2026
Key facts
- NPI
- 1255485199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA4061 (MS)
- Practice address
- 9099A Collinsville Rd
Collinsville, MS 39325-9779 - Phone
- (601) 626-8885
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9099 A Collinsville Rd
Collinsville, MS 39325-9779
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA4061 | MS | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collinsville Physical Therapy Clinic, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA4061 | MS | Yes |
Addresses
Primary practice location
9099A Collinsville Rd
Collinsville, MS 39325-9779
Mailing address
4655 Trick Talbert Rd
Bailey, MS 39320-9602
Phone (601) 480-6936
Other names
- Lisa Renee Harrison
Other providers in Collinsville, MS
- Blooming Healthcare Services LLC
- Larry Bourrage
- Jasmin Marie Brooks
- Margaret Trussell Brown
- Hunter Burns
All providers in Collinsville, MS · Physical Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.