Lisa Marie Pendleton, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03236 Issued in KS

Practice address

3729 W Central Ave
Wichita, KS 67203-4925

Phone

(316) 945-8020

Fax

(316) 616-0106

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Douglas J Schoenhofer DC PA

  dba Rose Hill Chiropractic

  • Chiropractor
  • Rose Hill, KS
  • NPI 1043521602
  NPD (past)
• Theracare, LLC

  • Physical Therapist
  • Wichita, KS
  • NPI 1326179482
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558494146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S LINDEN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672102447",
            "telephone_number": "316-945-8020",
            "fax_number": "316-616-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034925",
            "telephone_number": "316-945-8020",
            "fax_number": "316-616-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "6785",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "140595",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pelvic Health PT by Phoenix LLC
• Melany Pena
• Nubia Marisol Pena
• Charles D Pence, MD
• Tamara Pendergrass
• Jane Pendry, DPT
• Anne Elizabeth Penner, P.A.
• Irvin Roy Penner, LSCSW MSW
• Judith Marie Penner, LMSW
• Sharon F Penner, CDE, RLD

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.