Individual provider Active NPI

Lisa Grover, PT

  • Physical Therapist
  • Lowell, MA
National Provider Identifier
1568355352
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
110 Canal St Ste 3
Lowell, MA 01852-4589
Phone
(888) 855-2674
NPI assigned
May 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MA Primary

Addresses

Primary practice location

110 Canal St Ste 3
Lowell, MA 01852-4589

Mailing address

110 Canal St Ste 3
Lowell, MA 01852-4589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015001646 MA Practitioner - Physical Therapist in Private Practice 4284121070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Imago Rehab, IncGroup PAC ID 1850785056, 16 clinicians
Hae/PT, LLCGroup PAC ID 6800214883, 20 clinicians

Practice addresses (Care Compare)

Lowell, MA 01852
Phone (888) 855-2674

Wakefield, MA 01880
Phone (617) 851-5315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Imago Rehab, Inc Physical Therapist CurrentSince Jul 4, 2025 Accepting new patients
Hae/PT, LLC CurrentSince Feb 11, 2026 Accepting new patients

Locations

110 Canal St
Ste 3
Lowell, MA 01852
Phone (617) 671-0789

500 Unicorn Park Dr
Ste 300
Woburn, MA 01801
Phone (617) 671-0789

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": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1568355352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CANAL ST STE 3",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CANAL ST STE 3",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524589",
            "telephone_number": "888-855-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "LISA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.