Active NPI
Lisa M. Perry, MT, PTA
- Massage Therapist
- Denver, CO
National Provider Identifier
1417250424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0015599
- Practice address
- 975 N Lincoln St
Suite 202
Denver, CO 80203-2725 - Phone
- (303) 861-6632
- NPI assigned
- Dec 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT.0015599 | CO | Primary |
| Physical Therapy Assistant | 225200000X | PTA.0012283 | CO |
Addresses
Primary practice location
975 N Lincoln St
Suite 202
Denver, CO 80203-2725
Mailing address
975 N Lincoln St
Suite 202
Denver, CO 80203-2725
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)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.0012283 | CO | MD | Physical Therapy Assistant |
| MT.0015599 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1417250424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 N LINCOLN ST",
"address_2": "SUITE 202",
"city": "DENVER",
"state": "CO",
"postal_code": "802032725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 N LINCOLN ST",
"address_2": "SUITE 202",
"city": "DENVER",
"state": "CO",
"postal_code": "802032725",
"telephone_number": "303-861-6632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "LISA",
"middle_name": "M.",
"credential": "MT, PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-13",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0015599",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PTA.0012283",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.