Lisa V Alexander, PT

Key facts

NPI

1457787574

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT011193 (GA)

Practice address

2221 Peachtree Rd NE
Suite D336
Atlanta, GA 30309-1148

Phone

(404) 846-0886

NPI assigned

Sep 20, 2013

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

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.

• Life Clinic of Ga PC Chiropractor · Woodstock, GA · NPI 1922752807
  NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 20, 2013.

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1457787574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 DEAN DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181616",
            "telephone_number": "404-808-1328",
            "fax_number": "404-846-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE",
            "address_2": "SUITE D336",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "404-846-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "LISA",
        "middle_name": "V",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

• Jessie Beth Alexander, LPC
• Joel J Alexander, DO
• Justin Jacob Alexander, M.D.
• Katherine Alexander, PT
• Lauren T Alexander, LPC
• Maunda Sannyu Alexander
• Meghan Alexander, MD
• Melissa Alexander, LCSW
• Mykaila Emmanjalique Alexander
• Nneka Morris Alexander, PHD

All providers in Atlanta, GA · Physical Therapist in Georgia