Lisa Landis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003940 Issued in GA

Practice address

9390 The Landing Dr # 201
Douglasville, GA 30135-7180

Phone

(770) 852-1692

NPI assigned

Aug 21, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1730066556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 LAFAYETTE DR SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265537",
            "telephone_number": "912-293-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 THE LANDING DR # 201",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357180",
            "telephone_number": "770-852-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "LISA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael G Lamb, DDS
• Laura Lambert, RBT
• W Lambert, RBT
• Marcia Lamoth
• Pamela Landers, PA
• Clayton M Landrum, BCBA, M.ED.ECE
• Alicia M Landry, MD
• Arefeh Partovi Langkilde, LPC EDS
• Carrie Janette Langston, BA, RBT
• James Lantz, MD

• Physical Therapy Assistant in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.