Lisa Labar, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015925 Issued in MI

Practice address

820 Carp River LN
Suite 2
Ishpeming, MI 49849-3187

Phone

(906) 204-7400

Fax

(906) 204-7402

NPI assigned

Feb 12, 2014

Last updated

Feb 12, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marquette Rehabilitation and Sports Medicine CenterGroup PAC ID 0941351761, 13 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.

• Marquette Rehabilitation & Sports Medicine Center

  • Physical Therapy Clinic/Center
  • Marquette, MI
  • NPI 1376771287

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Superior Active Partners LLC

  dba Active Physical Therapy - Ishpeming

  • Physical Therapy Clinic/Center
  • Ishpeming, MI
  • NPI 1982045001

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1467876359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CARP RIVER LN",
            "address_2": "SUITE 2",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498493187",
            "telephone_number": "906-204-7400",
            "fax_number": "906-204-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CARP RIVER LN",
            "address_2": "SUITE 2",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498493187",
            "telephone_number": "906-204-7400",
            "fax_number": "906-204-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAR",
        "first_name": "LISA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J Klutts, DOCS, CEO
• Renee H. Kniola, M.D.
• Audra Ann Kohler, MA CCC-SLP
• Erik Christian Korpi, NP
• Tesa Kurin, LM, CPM
• Douglas E Labelle, MD
• Emily Ann Maynard Labond, DDS
• Nicole Lackey, MSW
• Lake Superior Home Health Care LLC (Superior Home Health Care)
• Maria Lalone

• Physical Therapist in Ishpeming, MI
• Providers in Ishpeming, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.