NPIMap

Individual provider Active NPI

Lisa S. Barrett, MD

  • Physical Medicine & Rehabilitation Physician
  • El Paso, TX
National Provider Identifier
1285778670
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
Q7639 Issued in TX
Practice address
210 Thunderbird Dr Ste T
El Paso, TX 79912-3910
Phone
(915) 300-0287
Fax
(915) 314-0474
NPI assigned
Feb 18, 2007
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35.096055 OH
Physical Medicine & Rehabilitation Physician 208100000X Q7639 TX Primary
Physical Medicine & Rehabilitation Physician 208100000X MD2020-0734 NM

Addresses

Primary practice location

210 Thunderbird Dr Ste T
El Paso, TX 79912-3910

Mailing address

5833 Via Cuesta Dr
El Paso, TX 79912-6610
Phone (915) 539-7841

Other identifiers 8

IdentifierTypeStateIssuer
P00877476OtherOHRRMCR
23738839MedicaidNM
4305841OtherOHMCR
000000679326OtherOHANTHEM
3810018857MedicaidWV
391322001MedicaidTX
3100996MedicaidOH
7420591OtherOHMCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160420000203 TX Practitioner - Physical Medicine and Rehabilitation 2769678127 Reassigns benefits to 1 organization
I20200903002686 NM Practitioner - Physical Medicine and Rehabilitation 2769678127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 Thunderbird Dr
Suite T
El Paso, TX 79912-3910
Phone (915) 300-0287

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2020-0734NMMDPhysical Medicine & Rehabilitation Physician
35.096055OHMDPhysical Medicine & Rehabilitation Physician
Q7639TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maranatha Physical Medicine & Rehabilitation, PLLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2018 Accepting new patients
Otero County Hospital Association CurrentSince Sep 1, 2020 Accepting new patients
Otero County Hospital Association CurrentSince Sep 1, 2020 Accepting new patients
El Paso VIII Enterprises, LLC Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Tom G. Mayer, M.D., P.a. PastSince Oct 1, 2016 Accepting new patients
Medway Pain Center LLC PastSince Feb 23, 2023 Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

210 Thunderbird Dr
Ste T
El Paso, TX 79912
Phone (915) 222-8255

7100 Westwind Dr
Ste 155
El Paso, TX 79912
Phone (915) 833-5100

Interoperability endpoints

  • Direct secure messaging: lisa.barrett.1@16730.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
El Paso Health and Rehabilitation CenterEl Paso, TX, CCN 455935 Skilled nursing facility Adp of the SNF Feb 23, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1285778670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 VIA CUESTA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126610",
            "telephone_number": "915-539-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 THUNDERBIRD DR STE T",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123910",
            "telephone_number": "915-300-0287",
            "fax_number": "915-314-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "LISA",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.096055",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q7639",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "MD2020-0734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00877476",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23738839",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR",
            "identifier": "4305841",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000679326",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018857",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391322001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100996",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR",
            "identifier": "7420591",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.