Individual provider Active NPI

Lisa M Skogen Hartman, PT

  • Physical Therapist
  • Winchester, TN
National Provider Identifier
1427212117
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5029 Issued in TN
Practice address
2030 Cowan Hwy Ste 1
Winchester, TN 37398-2446
Phone
(931) 968-1080
Fax
(931) 968-1200
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5029 TN Primary
Physical Therapist 225100000X PT0000005029 TN

Addresses

Primary practice location

2030 Cowan Hwy Ste 1
Winchester, TN 37398-2446

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

1397 S College St
Winchester, TN 37398-2414
Phone (931) 962-3225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830000002 CO Practitioner - Physical Therapist in Private Practice 2062824790 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Colorado, LLCGroup PAC ID 0446641179, 99 clinicians

Practice addresses (Care Compare)

2440 S Wabash St
Modena Cherry Creek
Denver, CO 80231-3808
Phone (314) 673-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0000005029TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince May 24, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 24, 2022 Accepting new patients
Empowerme Rehabilitation Colorado, LLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Colorado Ctr for Physical Therapy Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 27, 2022 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Silver Run Collective LLC Physical Therapist PastSince May 1, 2024 Accepting new patients

Locations

14501 E Crestline Dr
Centennial, CO 80015
Phone (303) 918-1219

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

2329 W Main St
Ste 102
Littleton, CO 80120
Phone (303) 797-0988

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 9

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1427212117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 COWAN HWY STE 1",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982446",
            "telephone_number": "931-968-1080",
            "fax_number": "931-968-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1397 S College St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "TN",
            "postal_code": "373982414",
            "country_code": "US",
            "telephone_number": "931-962-3225",
            "fax_number": "931-962-3103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOGEN HARTMAN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5029",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000005029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.