Individual provider Active NPI

Lisa Ragusa, PT

  • Physical Therapist
  • Brighton, MI
National Provider Identifier
1699830232
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010654 Issued in MI
Practice address
5757 Whitmore Lake Rd
Suite 900
Brighton, MI 48116-1962
Phone
(810) 220-5793
Fax
(810) 220-5805
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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 5501010654 MI Primary

Addresses

Primary practice location

5757 Whitmore Lake Rd
Suite 900
Brighton, MI 48116-1962

Mailing address

5757 Whitmore Lake Rd
Suite 900
Brighton, MI 48116-1962
Phone (810) 220-5793

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

LicenseStateTypeSpecialty
5501010654MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Physical Therapy, PC Physical Therapist PastSince Jan 13, 1999 Accepting new patients
Ivyrehab Michigan, LLC Physical Therapist PastSince Jul 29, 2019 Accepting new patients

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1699830232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WHITMORE LAKE RD",
            "address_2": "SUITE 900",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161962",
            "telephone_number": "810-220-5793",
            "fax_number": "810-220-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WHITMORE LAKE RD",
            "address_2": "SUITE 900",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161962",
            "telephone_number": "810-220-5793",
            "fax_number": "810-220-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUSA",
        "first_name": "LISA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.