Active NPI
Lisa A Corsica, M.S., P.T
- Physical Therapist
- Chesterton, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002889A
- Practice address
- 1120 S Calumet Rd
Chesterton, IN 46304-3285 - Phone
- (219) 983-9675
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | |||
| Physical Therapist | 225100000X | 05002889A | IN | Primary |
Addresses
Primary practice location
1120 S Calumet Rd
Chesterton, IN 46304-3285
Mailing address
201 Evans Ave
Valparaiso, IN 46383-3508
Phone (219) 508-2060
Other practice location 1
751 E Porter Ave Ste 2
Chesterton, IN 46304-9111
Phone (219) 926-5850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05002889A | Other | IN | PHYSICAL THERAPY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lcorsica@kidworksllc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
502 E 1100
Innovative Physical Therapy
Chesterton, IN 46304-9697
Phone 21992658501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05002889A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Kidworks, LLC | Physical Therapist | Past | Accepting new patients |
Locations
502 E 1100 N
Chesterton, IN 46304
Phone (219) 926-5850
60 W 94th Pl
Crown Point, IN 46307
Phone (219) 661-9508
751 E Porter Ave
Ste 2
Porter, IN 46304
Phone (219) 926-5850
265 Morthland Dr
Ste A
Valparaiso, IN 46383
Phone 2199265850 ext. 2
Organizations & group practices 2
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.
-
- Physical Therapist
- Chesterton, IN
- NPI 1578937447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1497873152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 EVANS AVE",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463833508",
"telephone_number": "219-508-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S CALUMET RD",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463043285",
"telephone_number": "219-983-9675"
}
],
"practiceLocations": [
{
"address_1": "751 E Porter Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Chesterton",
"state": "IN",
"postal_code": "463049111",
"country_code": "US",
"telephone_number": "219-926-5850",
"fax_number": "219-250-2072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORSICA",
"first_name": "LISA",
"middle_name": "A",
"credential": "M.S., P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002889A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "05002889A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lcorsica@kidworksllc.com",
"affiliation": "N",
"address_1": "1120 S Calumet Rd",
"city": "Chesterton",
"state": "IN",
"country_code": "US",
"postal_code": "463043285",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesterton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.