Individual provider Active NPI

Lisa Marie Borgmeyer, M.P.T.

  • Physical Therapist
  • Jefferson City, MO
National Provider Identifier
1669526786
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2006023673 Issued in MO
Practice address
2209 Stonehill Road
Jefferson City, MO 65101
Phone
(573) 634-3070
Fax
(573) 636-3247
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 2006023673 MO Primary

Addresses

Primary practice location

2209 Stonehill Road
Jefferson City, MO 65101

Mailing address

1220 Elmerine Ave
Jefferson City, MO 65101-3720

Other practice location 1

2211 Stonehill Road
Jefferson City, MO 65101
Phone (573) 634-3070

Other identifiers 1

IdentifierTypeStateIssuer
481582708MedicaidMO

Other names 1

  • Miss Lisa Marie Wisch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2006023673MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Area Council for Special Services CurrentSince Nov 9, 2025 Accepting new patients
Capital City Area Council for Special Services Physical Therapist CurrentSince Nov 9, 2025 Accepting new patients

Locations

1115 Fairgrounds Rd
Jefferson City, MO 65109
Phone (573) 634-3070

2211 Stonehill Rd
Jefferson City, MO 65101
Phone (573) 634-3070

2209 Stonehill Rd
Jefferson City, MO 65101
Phone (573) 634-3070

Organizations & group practices 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1669526786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 ELMERINE AVE",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 STONEHILL ROAD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65101",
            "telephone_number": "573-634-3070",
            "fax_number": "573-636-3247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Stonehill Road",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "65101",
            "country_code": "US",
            "telephone_number": "573-634-3070",
            "fax_number": "573-636-3247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORGMEYER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006023673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481582708",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WISCH",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.