Active NPI
Lisa Boyd, PT
- Physical Therapist
- Springfield, MO
National Provider Identifier
1689932634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2012012667
- Practice address
- 1911 S National Ave Ste 302
Springfield, MO 65804-2213 - Phone
- (417) 881-4164
- Fax
- (417) 881-1727
- NPI assigned
- Apr 27, 2012
- Last updated
- Apr 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2012012667 | MO | Primary |
Addresses
Primary practice location
1911 S National Ave Ste 302
Springfield, MO 65804-2213
Mailing address
1911 S National Ave Ste 302
Springfield, MO 65804-2213
Phone (417) 881-4164
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012012667 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Physical Therapy Associates Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Marshfield Rehab & Southwest Rehab
- Rehabilitation Clinic/Center
- Springfield, MO
- NPI 1104906338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1689932634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 S NATIONAL AVE STE 302",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042213",
"telephone_number": "417-881-4164",
"fax_number": "417-881-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 S NATIONAL AVE STE 302",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042213",
"telephone_number": "417-881-4164",
"fax_number": "417-881-1727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "LISA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2012012667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.