Lisa K Lund RPT Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT0003258 Issued in WA

Legal business name

LISA K LUND RPT INC

Practice address

840 Madison Ave N
Suite 102
Bainbridge Island, WA 98110-1769

Phone

(206) 855-0955

Fax

(206) 855-0801

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Lisa K Lund, RPT INC

Title

Owner

Phone

(206) 855-0955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1407045552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MADISON AVE N",
            "address_2": "SUITE 102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101769",
            "telephone_number": "206-855-0955",
            "fax_number": "206-855-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MADISON AVE N",
            "address_2": "SUITE 102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101769",
            "telephone_number": "206-855-0955",
            "fax_number": "206-855-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA K LUND RPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-855-0955",
        "authorized_official_credential": "RPT INC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT0003258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donna D Linz, M.S.W.
• Alexandria Lisenbe
• Andrew Wayne Litt, M.D.
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• Susan K Loftus, LMP. MSW

• Physical Therapy Clinic/Center in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.