Active NPI
Lisa Wright, P.T.
- Physical Therapist
- Boerne, TX
National Provider Identifier
1609120997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1125128
- Practice address
- 711 N Main St
Suite a
Boerne, TX 78006-1623 - Phone
- (830) 816-5453
- NPI assigned
- Nov 8, 2012
- 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 | 1125128 | TX | Primary |
Addresses
Primary practice location
711 N Main St
Suite a
Boerne, TX 78006-1623
Mailing address
103 Busby Rd
Boerne, TX 78006-8013
Phone (830) 230-5222
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1125128 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1609120997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 BUSBY RD",
"city": "BOERNE",
"state": "TX",
"postal_code": "780068013",
"telephone_number": "830-230-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 N MAIN ST",
"address_2": "SUITE A",
"city": "BOERNE",
"state": "TX",
"postal_code": "780061623",
"telephone_number": "830-816-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "LISA",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1125128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.