Lisa Renee Habermas, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016570 Issued in MI

Practice address

4265 Halkirk Dr
Waterford, MI 48329-1629

Phone

(248) 623-9660

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1629330287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 HALKIRK DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291629",
            "telephone_number": "248-623-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 HALKIRK DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291629",
            "telephone_number": "248-623-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMAS",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angellic Shanna Guyton
• Edward C Guzak, D.C.
• Rebecca Gwin
• H & P Food Town Pharmacy Inc
• Kris A Haase, DPM
• Melanie Anne Hager
• Margaret Eugenia Haglund, R.N., M.S.N., FNP-BC
• Mary Frances Halfpenny, RN
• Nestor Halicki, D.O.
• Chad Patrick Hall, CPSS

• Physical Therapist in Waterford, MI
• Providers in Waterford, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.