Individual provider Active NPI

Lisa Marie Buchart, DPT, COMT

  • Physical Therapist
  • Redmond, WA
National Provider Identifier
1740263136
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009992 Issued in WA
Practice address
8630 164TH Ave NE # 203
Redmond, WA 98052-3606
Phone
(425) 658-4980
Fax
(425) 658-4977
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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 PT29810 CA
Physical Therapist 225100000X PT00009992 WA Primary

Addresses

Primary practice location

8630 164TH Ave NE # 203
Redmond, WA 98052-3606

Mailing address

8630 164TH Ave NE # 203
Redmond, WA 98052-3606
Phone (425) 658-4980

Other names 1

  • Lisa Vasek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060317000407 WA Practitioner - Physical Therapist in Private Practice 9133187206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmond Ridge Physical Therapy PLLCGroup PAC ID 7810075561, 13 clinicians

Practice addresses (Care Compare)

22500 NE Marketplace Dr
Suite 204
Redmond, WA 98053-2033
Phone (425) 836-1034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29810CAMDPhysical Therapist
PT00009992WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redmond Ridge Physical Therapy PLLC CurrentSince Oct 18, 2021 Accepting new patients
Redmond Ridge Physical Therapy PLLC Physical Therapist CurrentSince Oct 18, 2021 Accepting new patients
Peak Sports & Spine Physical Therapy-Renton, P.S. Physical Therapist PastSince Sep 14, 2015 Accepting new patients
Elevate Physical Rehabilitation Group PLLC Physical Therapist PastSince Jun 1, 2018 Accepting new patients

Locations

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

4935 Lakemont Blvd SE
Ste 4
Bellevue, WA 98006
Phone (425) 956-3838

22500 NE Marketplace Dr
Ste 204
Redmond, WA 98053
Phone (425) 836-1034

13930 NE 178th Pl
Ste 112
Woodinville, WA 98072
Phone (425) 939-2194

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1740263136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 164TH AVE NE # 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523606",
            "telephone_number": "425-658-4980",
            "fax_number": "425-658-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 164TH AVE NE # 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523606",
            "telephone_number": "425-658-4980",
            "fax_number": "425-658-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHART",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT, COMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29810",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "VASEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.