Lisa M. Wolff, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05004261A Issued in IN

Practice address

53880 Carmichael Dr
South Bend, IN 46635-1567

Phone

(574) 247-9441

Fax

(574) 247-9442

NPI assigned

Jan 8, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.81 of 100Reported as group

Quality

64.48

Promoting interoperability

96

Improvement activities

40

Cost

78.21

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.wolff.3@13070.direct.athenahealth.com

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.

• Central Indiana Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Muncie, IN
  • NPI 1063422137

  IN, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
  • NPI 1669207023
  Care Compare group NPD
• Central Indiana Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Bloomington, IN
  • NPI 1013742477
  Care Compare group
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Plymouth, IN
  • NPI 1265209456
  Care Compare group
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Elkhart, IN
  • NPI 1457215113
  Care Compare group
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • South Bend, IN
  • NPI 1487421681
  Care Compare group
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Anderson, IN
  • NPI 1578678751
  Care Compare group
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Marion, IN
  • NPI 1619694726
  Care Compare group
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Mishawaka, IN
  • NPI 1740057942
  Care Compare group
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Fishers, IN
  • NPI 1962061135
  Care Compare group
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Zionsville, IN
  • NPI 1962223123
  Care Compare group

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1669520185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53880 CARMICHAEL DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351567",
            "telephone_number": "574-247-9441",
            "fax_number": "574-247-9442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 Beck Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465169059",
            "country_code": "US",
            "telephone_number": "574-247-9441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60160 Bodnar Blvd",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465449338",
            "country_code": "US",
            "telephone_number": "574-247-9441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004261A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200876270",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seyoum Tekie Woldegebriel
• Christopher John Wolf, O.D.
• Scott H Wolf, MD
• Danielle Wolfe, RBT
• Catherine N Wolff, DO
• Garrett James Wolfram
• Ana Victoria Wolgemuth
• Cheyanne Wolpert, RBT
• Amy Wolschlager, PT
• Lacy Marie Wolter, MA, BCBA

• All providers in South Bend, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.