Lisa C Dubnik, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA002105 Issued in GA

Practice address

105 N Main St Ste C
Cleveland, GA 30528

Phone

(706) 219-4507

Fax

(706) 865-1501

NPI assigned

Sep 17, 2009

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

State licenses

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1447583729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST STE C",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "30528",
            "telephone_number": "706-219-4507",
            "fax_number": "706-865-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4840 Highland Cir",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305063103",
            "country_code": "US",
            "telephone_number": "770-983-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBNIK",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deeds Concierge Home Care and Nursing Services Inc
• Callie Deloach, PT, DPT
• Dr. Brittan Slaton LLC
• Dr. Don Robbins Inc
• Dr. Don Robbins Inc.
• Donna Dunn, LCSW
• Joanne Todd Duvall, LPC
• Joanne Holt Edmondson, PHD, LPC, NCC
• Herb Lee Ellis, RPH
• Heather Kay-Campbell Farenger, PT, MPT

• Physical Therapy Assistant in Cleveland, GA
• Providers in Cleveland, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.