Lisa M Koniowsky, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-010536 Issued in OH

Practice address

77 W McKinley Way
Youngstown, OH 44514-1953

Phone

(330) 757-9772

NPI assigned

Jan 19, 2006

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 names 1

• Lisa M Shannon Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tudor Home Therapies IncGroup PAC ID 1850290644, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tudor Home Therapies Inc

  • Physical Therapist
  • Austintown, OH
  • NPI 1295783389
  Medicare reassignment Care Compare group NPD
• Tu Dor Home Therapies Inc

  • Physical Therapist
  • Cornersburg, OH
  • NPI 1427016377
  NPD
• Everett Health Center Inc

  • Chiropractor
  • Sebring, OH
  • NPI 1750455457

  Physical Therapist

  NPD (past)
• Primary Care Assoc of N

  • Internal Medicine Physician
  • Kent, OH
  • NPI 1336195932
  NPD (past)
• Tu Dor Home Therapies Inc

  • Physical Therapist
  • Boardman, OH
  • NPI 1164470233
  NPD (past)
• Tudor Home Therapies, Inc

  • Physical Therapist
  • Poland, OH
  • NPI 1568750875
  NPD (past)
• Western Reserve Professional Group Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Kent, OH
  • NPI 1699986620

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1679553200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "724-343-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W MCKINLEY WAY",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141953",
            "telephone_number": "330-757-9772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 W Main St",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442402400",
            "country_code": "US",
            "telephone_number": "330-677-5053",
            "fax_number": "330-673-8016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONIOWSKY",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-010536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SHANNON",
            "middle_name": "M",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gheorghiy Viktorovich Kolosovsky, PT
• Peter C Koma, C.R.N.A.
• Kate Komlanc, ED.S, NCSP
• Judith Kompanik
• Jason Andrew Komsa
• Ali Kooshkabadi, MD
• Adam Paul Kopacz, CRNA
• Michael Carl Koprucki, MD
• Shawna Koprucki, MD
• Marqus Koranteng, B.A., R.B.T,

• Physical Therapist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.