Lisa A Vivian, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3704-024 Issued in WI

Practice address

211 N Broadway Ste 105
Green Bay, WI 54303-2757

Phone

(920) 432-9040

Fax

(920) 432-9053

NPI assigned

Aug 31, 2010

Last updated

Aug 31, 2010By the provider in NPPES

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

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Spine Therapy of Green Bay SCGroup PAC ID 3072416502, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthopedic & Spine Therapy of Green Bay, SC

  • Physical Therapist
  • De Pere, WI
  • NPI 1558477307
  Medicare reassignment Care Compare group NPD
• Orthopedic & Spine Therapy of Brillion, SC

  • Physical Therapist
  • Manitowoc, WI
  • NPI 1154368843
  Medicare reassignment NPD
• Orthopedic and Spine Therapy of Menasha SC

  • Physical Therapist
  • Kaukauna, WI
  • NPI 1831260611
  Medicare reassignment NPD
• Orthopedic & Spine Therapy of

  • Physical Therapist
  • Brillion, WI
  • NPI 1811920887
  NPD
• Orthopedic & Spine Therapy of Green Bay SC

  • Physical Therapist
  • De Pere, WI
  • NPI 1033588579
  NPD
• Orthopedic & Spine Therapy of Menasha SC

  • Physical Therapist
  • Appleton, WI
  • NPI 1932136322
  NPD

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1285940098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N PROVIDENCE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138018",
            "telephone_number": "920-257-2000",
            "fax_number": "920-257-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY STE 105",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032757",
            "telephone_number": "920-432-9040",
            "fax_number": "920-432-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIAN",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3704-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Vitucci, APNP
• Vituity-Wisconsin Em SC
• Vituity-Wisconsin Em SC
• Vivent Health Inc
• Vivent Health Inc
• Molly Katherine Vizelka
• Caleb Vizina, DPT
• Angela Vlies, MSW, LCSW
• Vna Partners in Care Inc
• Vna Partners in Care, Inc.

• Physical Therapist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.