Active NPI
Lisa Grady Gilbert, P.T.
- Physical Therapist
- Salem, NH
National Provider Identifier
1568832533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1262
- Practice address
- 70 Butler St
Salem, NH 03079-3974 - Phone
- (603) 893-2900
- Fax
- (603) 893-1628
- NPI assigned
- Oct 2, 2015
- Last updated
- Oct 2, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1262 | NH | Primary |
Addresses
Primary practice location
70 Butler St
Salem, NH 03079-3974
Mailing address
70 Butler St
Salem, NH 03079-3974
Phone (603) 893-2900
Other names 1
- Lisa Marie Grady
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Woodmont Ave
Londonderry, NH 03053-0000
Phone (888) 531-2204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1262 | NH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Pathways Preferred of Tennessee LLC | Physical Therapist | Current | Accepting new patients |
Locations
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1568832533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 BUTLER ST",
"city": "SALEM",
"state": "NH",
"postal_code": "030793974",
"telephone_number": "603-893-2900",
"fax_number": "603-893-1628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BUTLER ST",
"city": "SALEM",
"state": "NH",
"postal_code": "030793974",
"telephone_number": "603-893-2900",
"fax_number": "603-893-1628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "LISA",
"middle_name": "GRADY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "1262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "GRADY",
"middle_name": "MARIE",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.