Lisa Desha Trainor, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA21741 Issued in FL

Practice address

3720 SE Jennings Rd
Port St Lucie, FL 34952-7701

Phone

(772) 398-8080

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

Yes

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": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1730412453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 NW KUKUI CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833346",
            "telephone_number": "772-418-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SE JENNINGS RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527701",
            "telephone_number": "772-398-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAINOR",
        "first_name": "LISA",
        "middle_name": "DESHA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA21741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tradition Health and Wellness Clinic PLLC (Blue Skies Health & Wellness Clinic)
• Tradition Home Care, LLC
• Tradition Surgery Center, LLC
• Trainor Pediatric Speech and Language Therapy Inc
• Adrienne Trainor
• Phu Ngoc Tran, M.D.
• Milady Travieso
• Sistiva Maureen Travis
• Kevin Micheal Traynor, MD
• Treasure Coast Alf Inc.

• Physical Therapy Assistant in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.