Lisa Henard, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12184 Issued in TN

Practice address

3509 McKinley Rd
Johnson City, TN 37604-5939

Phone

(423) 213-6796

NPI assigned

Apr 12, 2019

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  Physical Therapist

  Medicare reassignment NPD
• Blue Ridge Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Johnson City, TN
  • NPI 1841379914
  Medicare reassignment NPD
• Independent Physical Therapy, LLC

  dba BenchMark Physical Therapy

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1104878354
  Medicare reassignment NPD
• Agilitas USA, Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD
• Independent Physical Therapy LLC

  • Physical Therapist
  • Rockwood, TN
  • NPI 1295086023
  NPD
• Fairview Therapy

  dba Mini Miracles Pediatric Therapy

  • Early Intervention Provider Agency
  • Johnson City, TN
  • NPI 1831774637

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1619430980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 MCKINLEY RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045939",
            "telephone_number": "423-213-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 MCKINLEY RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045939",
            "telephone_number": "423-213-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENARD",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.henard@minimiraclestherapy.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3509 McKinley Rd",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376045939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Helton
• Nicholas Dean Helton
• Christopher B Hemphill, MD
• Jean Croce Hemphill, PHD, APRN, BC
• Amelia Henard
• Hayley Christian Henderson, MA
• Jesse Henderson, LPC-MHSP
• Jodie Marie Henderson, LPC-MHSP TEMP
• Leandra R Henderson, APN
• Olivia Henderson

• Physical Therapist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.