Lisa Peterson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

893 94TH St
Pleasant Prairie, WI 53158-4911

Phone

(262) 948-0525

NPI assigned

Jun 27, 2017

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 names 1

• Lisa T Weix Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1265952592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 94TH ST",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531584911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 94TH ST",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531584911",
            "telephone_number": "262-948-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LISA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WEIX",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vraj Patel, DDS
• Michelle C Paulowske, OT
• Pearle Vision
• Zakkary A Perez,, PT
• Jacob Michael Perotto, DPT
• Kelly Morgan Petrillo
• Lori Pettit, PTA
• Ajish Isac Philip, PHARM.D.
• Amy H Piko, O.D.
• Dwayne Pinon

• Physical Therapy Assistant in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.