Individual provider Active NPI

Lisa Robin Peretich Cole, DPT

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1609287671
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023058 Issued in PA
Practice address
4247 W Ridge Rd Ste 104
Erie, PA 16506-1746
Phone
(814) 833-7249
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT023058 PA Primary
Physical Therapist 225100000X 24719 MD

Addresses

Primary practice location

4247 W Ridge Rd Ste 104
Erie, PA 16506-1746

Mailing address

PO Box 248
Seneca, PA 16346-0248
Phone (814) 670-0534

Other practice location 1

6 E State St
Albion, PA 16401-1111
Phone (814) 756-6072

Other names 1

  • Ms. Lisa Robin Peretich Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124000516 PA Practitioner - Physical Therapist in Private Practice 6204136211 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24719MDMDPharmacist
PT023058PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Sep 13, 2023 Accepting new patients
Saint Vincent Rehab Solutions LLC Physical Therapist CurrentSince Oct 15, 2023 Accepting new patients
Allegheny Clinic CurrentSince Sep 13, 2023 Accepting new patients
Activecare Physical Therapy Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Physical Therapist PastSince Oct 15, 2023 Accepting new patients
Excel Physical Therapy Physical Therapist PastSince Sep 8, 2025 Accepting new patients
Anderson Physical Therapy Etc PC PastSince Feb 8, 2023 Accepting new patients

Locations

3425 Peach St
Erie, PA 16508
Phone (814) 450-5463

4247 W Ridge Rd
#104
Erie, PA 16506
Phone (814) 833-7249

4950 Buffalo Rd
Ste 104
Erie, PA 16510
Phone (814) 899-7000

4247 W Ridge Rd
Ste 104
Erie, PA 16506
Phone (814) 833-7249

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

Organizations & group practices 8

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1609287671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163460248",
            "telephone_number": "814-670-0534",
            "fax_number": "814-670-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 W RIDGE RD STE 104",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061746",
            "telephone_number": "814-833-7249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 E STATE ST",
            "address_purpose": "LOCATION",
            "city": "ALBION",
            "state": "PA",
            "postal_code": "164011111",
            "country_code": "US",
            "telephone_number": "814-756-6072",
            "fax_number": "814-756-6073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERETICH COLE",
        "first_name": "LISA",
        "middle_name": "ROBIN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023058",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PERETICH",
            "middle_name": "ROBIN",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.