Active NPI
Lisa Fletcher, PT, DPT
- Physical Therapist
- Hazen, ND
National Provider Identifier
1609320803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1979
- Practice address
- 510 8TH Ave NE
Hazen, ND 58545-4637 - Phone
- (701) 748-7276
- NPI assigned
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Chiropractor
- Chanhassen, MN
- NPI 1528324423
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of North Dakota School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Remillard, P.C.
Practice addresses (Care Compare)
1122 W Divide Ave
Focus Chiropractic
Bismarck, ND 58501-1202
Phone (701) 258-5058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250811003606 | ND | Practitioner - Physical Therapist in Private Practice | 4082112883 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1979 | ND | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remillard, P.C. | Physical Therapist | Current | Accepting new patients |
| Family Focus Chiropractic, LLC | Past | Accepting new patients |
Locations
1122 W Divide Ave
Bismarck, ND 58501
Phone (701) 258-5058
1167 Border Ln
Washburn, ND 58577
Phone (701) 462-3389
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1979 | ND | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
510 8TH Ave NE
Hazen, ND 58545-4637
Mailing address
510 8TH Ave NE
Hazen, ND 58545-4637
Other names 1
NPPES NPI Registry- Lisa Monson
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2018.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1609320803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 8TH AVE NE",
"city": "HAZEN",
"state": "ND",
"postal_code": "585454637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 8TH AVE NE",
"city": "HAZEN",
"state": "ND",
"postal_code": "585454637",
"telephone_number": "701-748-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "LISA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "MONSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hazen, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.