Individual provider Active NPI

Lisa Michelle Ferris, PT

  • Physical Therapist
  • Lebanon, KY
National Provider Identifier
1306932710
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1107985 Issued in TX
Practice address
703 E Main St
Suite 1
Lebanon, KY 40033-8695
Phone
(270) 699-9503
NPI assigned
Oct 4, 2006
Last updated
Jun 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1107985 TX Primary

Addresses

Primary practice location

703 E Main St
Suite 1
Lebanon, KY 40033-8695

Mailing address

224 S Proctor Knott Ave
Lebanon, KY 40033-1243
Phone (512) 940-6280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210310003128 KY Practitioner - Physical Therapist in Private Practice 5092943100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthodyne, LLCGroup PAC ID 3971609165, 3 clinicians

Practice addresses (Care Compare)

111 Wellpark LN
Campbellsville, KY 42718-4924
Phone (279) 789-6629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1107985TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Central Kentucky Physical Therapy LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2021 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Past Accepting new patients
Kentucky Orthopedic Rehabilitation LLC Past Accepting new patients
Springfield Physical Therapy, LLC Physical Therapist PastSince Aug 5, 2024 Accepting new patients

Locations

500 Clinic Dr
Hopkinsville, KY 42240
Phone (270) 707-3300

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

1113B Lincoln Park Rd
Springfield, KY 40069
Phone (859) 481-9008

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1306932710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S PROCTOR KNOTT AVE",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331243",
            "telephone_number": "512-940-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400338695",
            "telephone_number": "270-699-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1107985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.