Lisa Mary Stanczak, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18566 Issued in CA

Practice address

2701 N Rocky Point Dr
Suite 650
Tampa, FL 33607-5917

Phone

(800) 892-0640

NPI assigned

Apr 12, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Burger Physical Therapy Services Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Folsom, CA
  • NPI 1356352082
  Medicare reassignment NPD
• Burger Physical Therapy and Rehabilitation Agency Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Folsom, CA
  • NPI 1457333908
  NPD (past)

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1457641391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 SEYMOUR CIR",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956483236",
            "telephone_number": "949-923-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N ROCKY POINT DR",
            "address_2": "SUITE 650",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075917",
            "telephone_number": "800-892-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCZAK",
        "first_name": "LISA",
        "middle_name": "MARY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah M Stamler, DDS
• Cameron Stamm
• Christina Evyenia Stamoolis, M.D.
• Jenna Rae Stamos
• Jessica Marie Stamper, OTR
• Stand Up MRI of Tampa,LLC
• Asia Standifer
• Joseph William Standley Jr., DO
• Katherine Dolores Standley, DO
• Thomas Scott Stang, D.O.

• Speech-Language Pathologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.