Active NPI
Lisa C Hymes, MSPT, DPT, PCS
- Physical Therapist
- Louisville, CO
National Provider Identifier
1255538799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8372
- Practice address
- 1027 Turnberry Cir
Louisville, CO 80027-9594 - Phone
- (303) 870-9302
- Fax
- (303) 433-1574
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 8372 | CO | Primary |
Addresses
Primary practice location
1027 Turnberry Cir
Louisville, CO 80027-9594
Mailing address
1027 Turnberry Cir
Louisville, CO 80027-9594
Phone (303) 870-9302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49233319 | Medicaid | CO |
Other names 1
- Mrs. Lisa C Agnew
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 |
|---|---|---|---|
| 8372 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growwell Therapy LLC | Current | Accepting new patients | |
| Integrated Pediatric Therapies, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Physical Therapist
- Louisville, CO
- NPI 1245184514
-
- Early Intervention Provider Agency
- Louisville, CO
- NPI 1962650788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1255538799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 TURNBERRY CIR",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279594",
"telephone_number": "303-870-9302",
"fax_number": "303-433-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 TURNBERRY CIR",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279594",
"telephone_number": "303-870-9302",
"fax_number": "303-433-1574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYMES",
"first_name": "LISA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "MSPT, DPT, PCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "8372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49233319",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "AGNEW",
"middle_name": "C",
"prefix": "MRS.",
"credential": "MSPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.