Active NPI
Lisa B McIntosh, PT
- Physical Therapist
- Jacksonville, NC
National Provider Identifier
1710953328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10049
- Practice address
- 128 Memorial Dr
Jacksonville, NC 28546-6328 - Phone
- (910) 353-4500
- Fax
- (910) 353-5610
- NPI assigned
- Feb 23, 2006
- Last updated
- Dec 19, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10049 | NC | Primary |
Addresses
Primary practice location
128 Memorial Dr
Jacksonville, NC 28546-6328
Mailing address
738 Newman Rd
New Bern, NC 28562-5238
Phone (252) 635-2676
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10049 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Therapy Center of Cedar Point | Physical Therapist | Past | Accepting new patients |
| Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. | Past | Accepting new patients | |
| Peak Performance Sports and Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Aspire Products, LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Cedar Point, NC
- NPI 1255786356
-
- Specialist
- Jacksonville, NC
- NPI 1164482402
-
- Physical Therapist
- New Bern, NC
- NPI 1194714063
-
- Physical Therapist
- Cedar Point, NC
- NPI 1043331515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1710953328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "738 NEWMAN RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625238",
"telephone_number": "252-635-2676",
"fax_number": "252-633-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 MEMORIAL DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466328",
"telephone_number": "910-353-4500",
"fax_number": "910-353-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "LISA",
"middle_name": "B",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "10049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.