Lisa Nicole Nguyen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5428 Issued in ME

Practice address

12032 Business Blvd # a
Eagle River, AK 99577-7725

Phone

(907) 921-7384

Fax

(844) 605-1820

NPI assigned

Sep 17, 2019

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

Medicare fee-for-service enrollment

Enrolled in AK

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.

• Arctic Rehabilitation and Physical Therapy Anchorage LLC

  • Rehabilitation Chiropractor
  • Anchorage, AK
  • NPI 1013344670
  Medicare reassignment NPD
• Therapeutic Health and Home LLC

  • Physical Therapist
  • Chugiak, AK
  • NPI 1205421047
  NPD
• Colonial Healthcare

  • Assisted Living Facility
  • Lincoln, ME
  • NPI 1326273418
  NPD (past)
• Colonial Healthcare

  • Assisted Living Facility
  • Lincoln, ME
  • NPI 1710977236
  NPD (past)

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1700436193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672075",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995672075",
            "telephone_number": "907-921-7384",
            "fax_number": "844-605-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12032 BUSINESS BLVD # A",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777725",
            "telephone_number": "907-921-7384",
            "fax_number": "844-605-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LISA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaella Mae Loralea Nelson
• Mary Nelson
• Nervana Health Solutions LLC
• Jeremiah James Newbold, LCSW
• Aaron Newland, PHARM D.
• Bethany Morgan Nicholson
• Corinna Niebur, OTD, OTR/L
• Desiree Niederer, L.P.C.
• Elaine Patricia Nisonger, RDN, LD
• Erin Nisonger, LMFT, NCC

• Physical Therapist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.