Corissa M Lease

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1218 State St
Black Earth, WI 53515

Phone

(608) 767-2572

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1437740503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S HARRISON ST",
            "city": "BELLEVILLE",
            "state": "WI",
            "postal_code": "535089302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 STATE ST",
            "city": "BLACK EARTH",
            "state": "WI",
            "postal_code": "53515",
            "telephone_number": "608-767-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEASE",
        "first_name": "CORISSA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda A Heathcote, R.D.H.
• Hegerfeld Chiropractic LLC
• Michele Deanna Hyman, PT
• JPM Chiropractic LLC
• Meghan Elizabeth Kuefler, RN
• David Parrell
• Charles Kurt Reinhold, PT
• Stacy J Schmidt, R.D.H.
• Vanessa M Sievert
• Tessa Slama, BCBA

• Physical Therapy Assistant in Black Earth, WI
• Providers in Black Earth, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.