Active NPI
Lisa A Daigler, MPT
- Physical Therapist
- Tinley Park, IL
National Provider Identifier
1740511328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070011492
- Practice address
- 18210 La Grange Rd
Tinley Park, IL 60487-7722 - Phone
- (708) 429-8700
- Fax
- (708) 429-8720
- NPI assigned
- Jan 21, 2010
- 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 | 070011492 | IL | Primary |
Addresses
Primary practice location
18210 La Grange Rd
Tinley Park, IL 60487-7722
Mailing address
10327 S Hamilton Ave
Chicago, IL 60643-2414
Phone (773) 779-0189
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1740511328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10327 S HAMILTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606432414",
"telephone_number": "773-779-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18210 LA GRANGE RD",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604877722",
"telephone_number": "708-429-8700",
"fax_number": "708-429-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAIGLER",
"first_name": "LISA",
"middle_name": "A",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-21",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070011492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.