Lisa Michelle Luer, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

070-008073 Issued in IL

Practice address

1 Rose CT
Glen Carbon, IL 62034-1392

Phone

(618) 340-1014

Fax

(618) 288-6416

NPI assigned

Sep 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1346348786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROSE CT",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341392",
            "telephone_number": "618-340-1014",
            "fax_number": "618-288-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROSE CT",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341392",
            "telephone_number": "618-340-1014",
            "fax_number": "618-288-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUER",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070-008073",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MO",
            "license": "01873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Renee Lipe, LCSW
• Pamela Long, OT
• Cathy Evans Longos, DMD
• Stephanie N Lorts, MD
• Ryan G Loucks, DC
• Kevin Michael Luitjohan
• Lutheran Senior Services
• Claribel Manriquez, CM
• Jadon Thomas Marlin
• Maryville Womens Center PC

• Pediatric Physical Therapist in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.