Individual provider Active NPI

Lisa M Giusty, DPT

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1649517152
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015464 Issued in MI
Practice address
3197 Courtfield Dr
Rochester Hills, MI 48309-4804
Phone
(248) 299-2560
NPI assigned
Jan 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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 5501015464 MI Primary

Addresses

Primary practice location

3197 Courtfield Dr
Rochester Hills, MI 48309-4804

Mailing address

2620 Larkspur LN Ste T
Redding, CA 96002-1043
Phone (530) 605-4422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171113002640 CA Practitioner - Physical Therapist in Private Practice 9335394725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Spine and Sports Physical TherapyGroup PAC ID 7810138146, 3 clinicians

Practice addresses (Care Compare)

2620 Larkspur LN
Suite T
Redding, CA 96002-1043
Phone (530) 605-4422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Spine & Sports Physical Therapy Physical Therapist CurrentSince Aug 15, 2018 Accepting new patients
Aquaticare Physical Therapy P.C PastSince Mar 17, 2008 Accepting new patients
Empower Physical Therapy and Fitness Past Accepting new patients

Locations

2620 Larkspur Ln
Ste T
Redding, CA 96002
Phone (530) 605-4422

Organizations & group practices 3

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": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1649517152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 LARKSPUR LN STE T",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021043",
            "telephone_number": "530-605-4422",
            "fax_number": "530-722-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3197 COURTFIELD DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483094804",
            "telephone_number": "248-299-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUSTY",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.

Verify at the official NPI Registry.