Lisa Barnes Niemeyer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5028 Issued in SC

Practice address

209 Patewood Dr
Suite 100
Greenville, SC 29615-3581

Phone

(864) 272-0124

Fax

(864) 272-0129

NPI assigned

Aug 3, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Elite Integrated Therapy Centers, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1184673600
  NPD (past)
• Sports Spine & Industrial, Inc.

  • Physical Therapist
  • Greer, SC
  • NPI 1093748121
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1740298934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 W WADE HAMPTON BLVD STE F",
            "address_2": "PMB 207",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PATEWOOD DR",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153581",
            "telephone_number": "864-272-0124",
            "fax_number": "864-272-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMEYER",
        "first_name": "LISA",
        "middle_name": "BARNES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE PROVIDER NUMBER",
            "identifier": "943423122",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD NUMBER",
            "identifier": "P00263717",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Wardell, LLC
• Elyse Nicolette, OTR
• Ashley Dunn Nida
• Laura Grace Niederbrach, OD
• Anne Devereux Niehaus, MD
• Claudia Nieuwoudt, M.D.
• David Martin Nigh, OD
• Steven Cloyde Nigh, OD
• Addison Randolph Niles, MD
• Andrea Beth Nisonson, MD

• Physical Therapist in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.