Lisa Burns, MSPT
Individual provider Active NPI Specialist · Laporte, IN
NPI 1497791701 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497791701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 05007288A (IN)
- Practice address
- 2338 N US Highway 35
Laporte, IN 46350-8380 - Phone
- (219) 325-0060
- Fax
- (219) 325-9919
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05007288A | IN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Rehabilitation Centers LTD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 05007288A | IN | Yes |
Addresses
Primary practice location
2338 N US Highway 35
Laporte, IN 46350-8380
Mailing address
2338 N US Highway 35
Laporte, IN 46350-8380
Phone (219) 325-0060
Other providers in Laporte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.