Individual provider Active NPI

Lisa Hedien, RPT

  • Physical Therapist
  • Surprise, AZ
National Provider Identifier
1710092028
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-32597 Issued in AZ
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

Updated by the provider on Feb 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20040330001890 CA Practitioner - Physical Therapist in Private Practice 0143212233 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
26401CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Mono Health Care District CurrentSince Jun 1, 2025 Accepting new patients
Blake Physical Therapy, PC Physical Therapist PastSince Dec 16, 2002 Accepting new patients
BHSM Rehabilitation, LLC PastSince Feb 16, 2025 Accepting new patients
Cypress Physical Therapy Center, Inc. Physical Therapist PastSince Sep 24, 2023 Accepting new patients
The Cypress Center, a Physical Therapy Corporation Physical Therapist PastSince Mar 1, 2021 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.

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.

Verify at the official NPI Registry.