Individual provider Active NPI

Lisa A Corsica, M.S., P.T

  • Physical Therapist
  • Chesterton, IN
National Provider Identifier
1497873152
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05002889A Issued in IN
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

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05002889AOtherINPHYSICAL THERAPY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lcorsica@kidworksllc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306003658 IN Practitioner - Physical Therapist in Private Practice 6204175342 Reassigns benefits to 1 organization

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
Innovative Physical Therapy LLCGroup PAC ID 0941506406, 10 clinicians

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

LicenseStateTypeSpecialty
05002889AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physical Therapy LLC Physical Therapist CurrentSince Jan 14, 2019 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.

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.

Verify at the official NPI Registry.