Active NPI
Lisa Flint, MPT
- Physical Therapist
- Palm Bay, FL
National Provider Identifier
1306019260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23958
- Practice address
- 1155 Malabar Rd NE
Palm Bay, FL 32907-3245 - Phone
- (321) 409-5777
- NPI assigned
- Apr 10, 2008
- Last updated
- Apr 10, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23958 | FL | Primary |
Addresses
Primary practice location
1155 Malabar Rd NE
Palm Bay, FL 32907-3245
Mailing address
451 Timberlake Dr
Melbourne, FL 32940-7741
Phone (321) 751-4656
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23958 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1306019260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 TIMBERLAKE DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407741",
"telephone_number": "321-751-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MALABAR RD NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329073245",
"telephone_number": "321-409-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLINT",
"first_name": "LISA",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "23958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
- Matthew M Fisher, LMT
- Theresa Fitzgerald, COTA/L
- Cheri Ann Flanagan, PT
- Narica Fleming, RN
- Pansy Roselyn Fletcher
- Diego Florentin Rodriguez, M.D.
- Florida Dermatology Associates Inc (Palm Bay Dermatology)
- Florida Diagnostic Imaging Inc
- Florida Diagnostic Portable Imaging, Inc
- Florida Eye Associates Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.