Lisa Haas Physical Therapy, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT22415 Issued in CA

Legal business name

LISA HAAS PHYSICAL THERAPY, INC.

Practice address

1708 19TH St
C/O Bodyfirst
Santa Monica, CA 90404-4418

Phone

(310) 453-1969

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Karin Haas, DPT

Title

Owner

Phone

(310) 453-1969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1578973418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 IDAHO AVE",
            "address_2": "#6",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032667",
            "telephone_number": "310-463-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 19TH ST",
            "address_2": "C/O BODYFIRST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044418",
            "telephone_number": "310-453-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA HAAS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KARIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-453-1969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT22415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.