Lisette Robson McEwen, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P16713 Issued in NC

Practice address

2609 N Duke St Ste 203
Durham, NC 27704-3048

Phone

(919) 220-6532

Fax

(919) 220-4572

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Proactive Therapy of North Carolina Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Raleigh, NC
  • NPI 1689679433
  NPD (past)
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Bethany, OK
  • NPI 1437110020
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639230386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 N DUKE ST STE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043048",
            "telephone_number": "919-220-6532",
            "fax_number": "919-220-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 N DUKE ST STE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043048",
            "telephone_number": "919-220-6532",
            "fax_number": "919-220-4572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 Divisadero St Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153043",
            "country_code": "US",
            "telephone_number": "415-833-4687",
            "fax_number": "415-833-2612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCEWEN",
        "first_name": "LISETTE",
        "middle_name": "ROBSON",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16713",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "24288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamel N McDuffie-Watson, DDS
• Kawania McDuffie
• Kara Alina May McElligott Park, MD, MPH
• Gregory Scott McElroy, MD/PHD
• John Duncan McEwen, M.D.
• Tiffany Yates McEwen, MSN, AGNP
• James David McFadden
• Roshonda McFadden
• Torrance T McFadden
• Barrette Welch McFall, MS, CRC, LCAS, LPC

• Physical Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.