Individual provider Active NPI

Lisa Patrice Harewood, PT

  • Physical Therapist
  • Hunt Valley, MD
National Provider Identifier
1639342702
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0368791 Issued in NY
Practice address
301 International Cir # 100
Hunt Valley, MD 21030-1334
Phone
(240) 413-6656
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0368791 NY Primary

Addresses

Primary practice location

301 International Cir # 100
Hunt Valley, MD 21030-1334

Mailing address

307 International Cir Ste 100
Hunt Valley, MD 21030-1387
Phone (410) 667-7200

Other names 1

  • Lisa Patrice Clarke Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140110000061 NY Practitioner - Physical Therapist in Private Practice 7214165612 Reassigns benefits to 5 organizations
Practice locations: Cambria Heights, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0368791NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Rehabilitation LLP CurrentSince Apr 4, 2018 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Esd PT OT & SLP PLLC Physical Therapist CurrentSince Apr 22, 2020 Accepting new patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Physical Therapist CurrentSince Mar 24, 2014 Accepting new patients

Locations

307 International Cir
Ste 100
Hunt Valley, MD 21030
Phone (410) 606-7720

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Organizations & group practices 5

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1639342702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 INTERNATIONAL CIR STE 100",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301387",
            "telephone_number": "410-667-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 INTERNATIONAL CIR # 100",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301334",
            "telephone_number": "240-413-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAREWOOD",
        "first_name": "LISA",
        "middle_name": "PATRICE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0368791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CLARKE",
            "middle_name": "PATRICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.