Lisa Bolheimer Minn, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 30120 Issued in CA

Practice address

826 Hazelwood Ave
Pittsburgh, PA 15217-2972

Phone

(412) 414-1988

Fax

(412) 924-4079

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Bolheimer Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

To Life Fitness LLCGroup PAC ID 3173931490, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• To Life Fitness, LLC

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1346606993
  Medicare reassignment Care Compare group
• Presidio Sport & Medicine, Inc.

  • Physical Therapist
  • San Francisco, CA
  • NPI 1578565149
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1407066509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BEECHWOOD BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172706",
            "telephone_number": "415-561-6655",
            "fax_number": "415-561-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 HAZELWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172972",
            "telephone_number": "412-414-1988",
            "fax_number": "412-924-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINN",
        "first_name": "LISA",
        "middle_name": "BOLHEIMER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 30120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BOLHEIMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marceya Mingo
• Jayda Lynn Minguela, RBT
• Jessica L Minisce
• Katrina Mink, MSW
• Alaa Minkara, PHARMD
• Barbara L Minnich
• Christopher Minnier, PA-C
• Jennifer Minnier, PA-C
• Lauren Minniti, PA-C
• Rosario Mino

• Physical Therapist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.