Active NPI
Lissa Dyanne Vreeland, PTA
- Physical Therapy Assistant
- Crawfordsville, IN
National Provider Identifier
1750051264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06003334A
- Practice address
- 1710 Lafayette Rd
Crawfordsville, IN 47933-1033 - Phone
- (765) 362-6740
- NPI assigned
- Sep 16, 2021
- 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 Therapy Assistant | 225200000X | 06003334A | IN | Primary |
Addresses
Primary practice location
1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Mailing address
1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 362-6740
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06003334A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1750051264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 LAFAYETTE RD",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479331033",
"telephone_number": "765-362-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 LAFAYETTE RD",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479331033",
"telephone_number": "765-362-6740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VREELAND",
"first_name": "LISSA",
"middle_name": "DYANNE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06003334A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crawfordsville, IN
- Ryan Bradley Vancauwenbergh, PT, DPT
- Grace M Vaught, COTA
- Village Apothecary at Williamsburg
- Village Drug Store (Village Drug Store Inc)
- Madalyn Vonderheit, LSW
- Jonathon Wade
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1655)
- Wal-Mart Stores East, LP (Vision Center 30-1655)
- Walgreen Co (Walgreens #07736)
- Charlotte C Waling, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.