Individual provider Active NPI

Lisa Michelle Weinman, M.S.,P.T.

  • Physical Therapist
  • Summit, NJ
National Provider Identifier
1508876624
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00913800 Issued in NJ
Practice address
557 Morris Ave
Summit, NJ 07901-1320
Phone
(973) 243-2443
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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 0247881 NY
Physical Therapist 225100000X 40QA00913800 NJ Primary

Addresses

Primary practice location

557 Morris Ave
Summit, NJ 07901-1320

Mailing address

557 Morris Ave
Summit, NJ 07901-1320
Phone (973) 243-2443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026002135 NJ Practitioner - Physical Therapist in Private Practice 5799730339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Country Club CT
Livingston, NJ 07039-2503
Phone (732) 547-8787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40QA00913800NJMDPhysical Therapist
0247881NYMDPhysical Therapist
024788NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodypro Physical Therapy, LLC Physical Therapist CurrentSince Jun 23, 2018 Accepting new patients
Lower Manhattan Physical Therapy & Sports Rehab, P.C. Physical Therapist Past Accepting new patients
Lower Manhattan Physical Therapy & Sports Rehab., P.C. Physical Therapist Past Accepting new patients
Procare Rehabilitation, LLC Physical Therapist PastSince Sep 13, 2016 Accepting new patients

Organizations & group practices 4

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1508876624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 MORRIS AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011320",
            "telephone_number": "973-243-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 MORRIS AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011320",
            "telephone_number": "973-243-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINMAN",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.S.,P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0247881",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00913800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.