Lisa Ravalli, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 35433 Issued in CA

Practice address

3959 Ruffin Rd
Suite F
San Diego, CA 92123-1830

Phone

(858) 279-5570

Fax

(858) 279-5303

NPI assigned

Feb 19, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Rehab United Sports Medicine & Physical Therapy, Inc.

  • Physical Therapist
  • San Diego, CA
  • NPI 1134216294
  NPD (past)
• Rehab United Sports Medicine & Physical Therapy, Inc.

  • Customized Equipment (DME)
  • Escondido, CA
  • NPI 1891581971
  NPD (past)

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1265671994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 JULIO PL",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715012",
            "telephone_number": "619-449-1877",
            "fax_number": "858-279-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 RUFFIN RD",
            "address_2": "SUITE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231830",
            "telephone_number": "858-279-5570",
            "fax_number": "858-279-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVALLI",
        "first_name": "LISA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 35433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dori N. Rausch-Rafii, M.D.
• Lucie Rautenberg
• Scott Rauvola, D.D.S.
• Guy A. Ravad, MD
• Chandni Vinay Raval, P.A.
• Amir Ravandi, MD PHD
• Raveen Thekkeurimbil Raviendran, M.D.
• Meera Ravindranathan, M.D.
• Madison Ravine, DPM
• Adrian B Ravitz, CO

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.