Active NPI
Lisa C Egan, DPT
- Orthopedic Physical Therapist
- Newtown, PA
National Provider Identifier
1407148299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT021171
- Practice address
- 121 Friends Lane
Suite 700
Newtown, PA 18940 - Phone
- (215) 497-9758
- Fax
- (215) 497-9759
- NPI assigned
- May 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT021171 | PA | Primary |
Addresses
Primary practice location
121 Friends Lane
Suite 700
Newtown, PA 18940
Mailing address
201 W. Evergreen Ave
Apt 302
Philadelphia, PA 19118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1407148299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W. EVERGREEN AVE",
"address_2": "APT 302",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 FRIENDS LANE",
"address_2": "SUITE 700",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "18940",
"telephone_number": "215-497-9758",
"fax_number": "215-497-9759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "LISA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT021171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.