Individual provider Active NPI

Lisa K Mayhugh, PT, CMT

  • Physical Therapist
  • Walnut Creek, CA
National Provider Identifier
1487708434
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-02692 Issued in KS
Practice address
325 N Wiget LN
#130
Walnut Creek, CA 94598-2435
Phone
(925) 935-5425
NPI assigned
Jan 23, 2007
Last updated
Jul 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-02692 KS Primary
Mechanotherapist 172M00000X 29028 CA

Addresses

Primary practice location

325 N Wiget LN
#130
Walnut Creek, CA 94598-2435

Mailing address

5340 Walnut St
Oakland, CA 94619-3234
Phone (510) 536-4617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT of Newton, LLC Physical Therapist PastSince Apr 21, 2021 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1487708434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 WALNUT ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946193234",
            "telephone_number": "510-536-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N WIGET LN",
            "address_2": "#130",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982435",
            "telephone_number": "925-935-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYHUGH",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "PT, CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02692",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CA",
            "license": "29028",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.