Individual provider Active NPI

Lisa M. Atkinson, PT

  • Physical Therapist
  • Gig Harbor, WA
National Provider Identifier
1265588321
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007698 Issued in WA
Practice address
6712 Kimball Dr Ste 101
Gig Harbor, WA 98335-1220
Phone
(253) 851-7277
Fax
(253) 851-7297
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00007698 WA Primary

Addresses

Primary practice location

6712 Kimball Dr Ste 101
Gig Harbor, WA 98335-1220

Mailing address

4411 Point Fosdick Dr NW Ste 101
Gig Harbor, WA 98335-1703
Phone (253) 851-7472

Other identifiers 2

IdentifierTypeStateIssuer
182401OtherWALABOR & INDUSTRIES
8397275MedicaidWA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00007698WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist PastSince Dec 8, 2005 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265588321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 POINT FOSDICK DR NW STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351703",
            "telephone_number": "253-851-7472",
            "fax_number": "253-851-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 KIMBALL DR STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351220",
            "telephone_number": "253-851-7277",
            "fax_number": "253-851-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "182401",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8397275",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.