Active NPI
Lisa Hedien, RPT
- Physical Therapist
- Surprise, AZ
National Provider Identifier
1710092028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-32597
- Practice address
- 13951 W Grand Ave
Surprise, AZ 85374-2436 - Phone
- (623) 537-9730
- NPI assigned
- Aug 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26401 | CA | |
| Physical Therapist | 225100000X | LPT-32597 | AZ | Primary |
Addresses
Primary practice location
13951 W Grand Ave
Surprise, AZ 85374-2436
Mailing address
15621 W Sky Hawk Dr
Sun City West, AZ 85375-6514
Phone (310) 469-1178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone (760) 934-3311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26401 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Mono Health Care District | Current | Accepting new patients | |
| Blake Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| Cypress Physical Therapy Center, Inc. | Physical Therapist | Past | Accepting new patients |
| The Cypress Center, a Physical Therapy Corporation | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Critical Access Hospital Clinic/Center
- Mammoth Lakes, CA
- NPI 1962444059
-
- Physical Therapy Clinic/Center
- Payson, AZ
- NPI 1497222632
-
- Orthopedic Physical Therapist
- Santa Monica, CA
- NPI 1750350476
-
- Orthopedic Physical Therapist
- Pacific Palisades, CA
- NPI 1831977230
-
- Physical Therapist
- Pacific Palisades, CA
- NPI 1265509079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739059200000",
"number": "1710092028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15621 W SKY HAWK DR",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853756514",
"telephone_number": "310-469-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13951 W GRAND AVE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742436",
"telephone_number": "623-537-9730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDIEN",
"first_name": "LISA",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2025-02-09",
"certification_date": "2025-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT26401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-32597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; 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.