Lisa A Grady, LPTA, LMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604026 Issued in VA

Practice address

900 Stanhope GDNS Ste 101
Chesapeake, VA 23320-0709

Phone

(757) 842-6562

Fax

(757) 842-6563

NPI assigned

May 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Lisa A Farnen Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Jrose Integrative Therapy

  • Physical Therapy Clinic/Center
  • Chesapeake, VA
  • NPI 1598932113
  NPD
• Restorative Physical Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Chesapeake, VA
  • NPI 1770955312
  NPD

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1306581129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STANHOPE GDNS STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200709",
            "telephone_number": "757-842-6562",
            "fax_number": "757-842-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STANHOPE GDNS STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200709",
            "telephone_number": "757-842-6562",
            "fax_number": "757-842-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LPTA, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "0019012791",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://RPTWellness.com",
            "affiliation": "N",
            "endpointDescription": "PT Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 Stanhope Gdns Ste 101",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233200709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "FARNEN",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "LPTA, LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Stars Services LLC
• Graceful Hands Homecare LLC
• Gracefully Connected, LLC
• Gracefully Living Home Health, LLC
• Gracing Hands Day Program LLC
• Britta Graef, PT
• Wendy Ann Graefe, CNM
• Graham Dental
• Ashley Graham
• David Bruce Graham, DDS

• Physical Therapy Assistant in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.