Lisa Marie-Mone Fourkas, PT, DPT, CPA (INACTI

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

25938 Issued in CA

Practice address

1601 South Deanza Blvd
Suite 111
Cupertino, CA 95014

Phone

(408) 257-2225

Fax

(408) 257-2485

NPI assigned

Dec 2, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Lisa Marie Mone Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• B.E.S.T. Physical Therapy, a Prof Corp

  • Physical Therapy Clinic/Center
  • San Jose, CA
  • NPI 1841214491

  Physical Therapist

  Medicare reassignment NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1699043802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 QUETTA AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871254",
            "telephone_number": "408-830-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SOUTH DEANZA BLVD",
            "address_2": "SUITE 111",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95014",
            "telephone_number": "408-257-2225",
            "fax_number": "408-257-2485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOURKAS",
        "first_name": "LISA",
        "middle_name": "MARIE-MONE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CPA (INACTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25938",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "25938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MONE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kin Fok
• Michelle Marie Fontana, RN
• Foothill Medical Clinic Inc
• Foothill-de Anza Community College District
• Olga Fotin, MA, LMHC, LPCC
• Neleigh Fowler, DPT
• Kenneth Frangadakis, DDS
• Frederick W. Schwertley - Medical Corp.
• Lance William Frey, LCSW
• Amy Elizabeth Friedman-Bender, PH.D.

• Orthopedic Physical Therapist in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.