Individual provider Active NPI

Lisa Farrar, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1356895924
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
755 E McDowell Rd
Phoenix, AZ 85006-2506
Phone
(480) 210-6556
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 TN Primary

Addresses

Primary practice location

755 E McDowell Rd
Phoenix, AZ 85006-2506

Mailing address

755 E McDowell Rd
Phoenix, AZ 85006-2506
Phone (480) 210-6556

Other practice location 1

5505 Edmondson Pike
Suite 103
Nashville, TN 37211-5872
Phone (615) 831-1710

Other identifiers 2

IdentifierTypeStateIssuer
LPT-30185MedicaidAZ
1356895924MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220223001734 AZ Practitioner - Physical Therapist in Private Practice 6507146180 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10965TNMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Nov 17, 2021 Accepting new patients
BHSM Rehabilitation LLC CurrentSince Nov 17, 2021 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients

Locations

20770 W Market St
Ste 106
Buckeye, AZ 85396
Phone (623) 278-7520

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456

20045 N 19th Ave
Bldg 8
Phoenix, AZ 85027
Phone (623) 374-2424

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

1550 W Craig Rd
Ste 210
North Las Vegas, NV 89032
Phone (702) 343-0623

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1356895924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062506",
            "telephone_number": "480-210-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062506",
            "telephone_number": "480-210-6556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5505 Edmondson Pike",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372115872",
            "country_code": "US",
            "telephone_number": "615-831-1710",
            "fax_number": "615-831-1968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "LISA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LPT-30185",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356895924",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.