Jennifer A Lis, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-4508 Issued in HI

Practice address

1350 S King St Ste 307
Honolulu, HI 96814-2008

Phone

(609) 468-2725

NPI assigned

Jul 3, 2014

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI, AK2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of Maryland School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Makai Mobile Rehab LLCGroup PAC ID 5193862175, 6 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Makai Mobile Rehab, LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
  • NPI 1649408683

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Honolulu, HI
  • NPI 1225799182
  Medicare reassignment NPD
• Rebound Sports and Orthopedic Physical Therapy, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1407888902
  Medicare reassignment NPD
• Makai Mobile Rehab, LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
  • NPI 1265326953
  NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD
• Precision Occupational Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • West Covina, CA
  • NPI 1821290024
  NPD
• JM Physical Therapy Inc

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1558658336
  NPD (past)
• Performancepro Sports Medicine and Rehabilitation

  • Durable Medical Equipment & Medical Supplies
  • Tyler, TX
  • NPI 1063663227
  NPD (past)
• Samimi Orthopedic Group, Inc.

  • Orthopaedic Surgery Physician
  • Covina, CA
  • NPI 1780803080
  NPD (past)

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1467868968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SEASIDE AVE APT 704",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152611",
            "telephone_number": "609-468-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S KING ST STE 307",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142008",
            "telephone_number": "609-468-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIS",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-4508",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Sachie Kula Lippert, MFT, CSAC
• Laura Allison Lipscomb, MA, LMFT
• Fernando Liquido
• Tiara Liquido, PSYD
• Carolina Liriano
• Lisa Ho, Psy.D., LLC
• Lisa L. Wong M.D. Inc.
• Lisa Nguyen MD LLC
• George B Lisehora, M.D.
• Joella Lisenbee

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.