Active NPI
Lise Ellen McCarthy, PT, DPT, GCS
- Geriatric Physical Therapist
- San Francisco, CA
National Provider Identifier
1275516080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 25270
- Practice address
- 1500 Owens St Ste 400
San Francisco, CA 94158-2335 - Phone
- (415) 665-4953
- Fax
- (415) 665-4953
- NPI assigned
- Nov 25, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 25270 | CA | Primary |
Addresses
Primary practice location
1500 Owens St Ste 400
San Francisco, CA 94158-2335
Mailing address
927 Vicente St
San Francisco, CA 94116-3023
Phone (415) 665-4953
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1275516080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 VICENTE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941163023",
"telephone_number": "415-665-4953",
"fax_number": "415-665-4953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 OWENS ST STE 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941582335",
"telephone_number": "415-665-4953",
"fax_number": "415-665-4953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "LISE",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PT, DPT, GCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-25",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "25270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.