Individual provider Active NPI

Lisa Sands

  • Physical Therapy Assistant
  • Lititz, PA
National Provider Identifier
1609114529
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE009615 Issued in PA
Practice address
1001 E Oregon Rd
Lititz, PA 17543-9205
Phone
(717) 569-3271
NPI assigned
Jan 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE009615 PA Primary

Addresses

Primary practice location

1001 E Oregon Rd
Lititz, PA 17543-9205

Mailing address

115 Market St
Apt 2
Pittston, PA 18640-2559

Other practice location 1

5535 S Williamson Blvd
Suite 774
Port Orange, FL 32128-8311
Phone (386) 756-4395 ext. 119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TE009615PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1609114529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MARKET ST",
            "address_2": "APT 2",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186402559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E OREGON RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439205",
            "telephone_number": "717-569-3271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5535 S Williamson Blvd",
            "address_2": "Suite 774",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321288311",
            "country_code": "US",
            "telephone_number": "386-756-4395 x119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDS",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE009615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.