Lisa Bradford Ulrich, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25103 Issued in CA

Practice address

150 Sierra St
El Segundo, CA 90245-4117

Phone

(310) 890-7584

Fax

(310) 642-1195

NPI assigned

Apr 18, 2007

Last updated

Jan 14, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Bradford White Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• One Step Ahead Pediatric Physical Therapy

  dba Lisa B. Ulrich

  • Physical Therapy Clinic/Center
  • El Segundo, CA
  • NPI 1114257474
  NPD (past) Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1336366947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6962 W 85TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452603",
            "telephone_number": "310-890-7584",
            "fax_number": "310-642-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SIERRA ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454117",
            "telephone_number": "310-890-7584",
            "fax_number": "310-642-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "LISA",
        "middle_name": "BRADFORD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WHITE",
            "middle_name": "BRADFORD",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• U.S. Healthworks Medical Group, PC
• Emily Susanne Uboldi
• Uche Ugwu
• Onyckah Ulik
• Hannah Ulman
• Marjan Ungureanu, D.M.D.
• United States Space Force (GRT)
• India Upchurch
• Cheyenne Morgan Upton
• Diana Urbina

• Physical Therapist in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.