Individual provider Active NPI

Lisa Werner, PT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1750148631
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P6909 Issued in NC
Practice address
3523 Courtland Dr
Durham, NC 27707-5134
Phone
(984) 837-0991
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P6909 NC Primary

Addresses

Primary practice location

3523 Courtland Dr
Durham, NC 27707-5134

Mailing address

4711 Hope Valley Rd Ste 417-4F
Durham, NC 27707-5651
Phone (984) 837-0991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320000082 NC Practitioner - Physical Therapist in Private Practice 4587001078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active at Home Senior ServicesGroup PAC ID 8224424551, 3 clinicians

Practice addresses (Care Compare)

3523 Courtland Dr
Durham, NC 27707-5134
Phone (919) 605-6105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P6909NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active at Home Senior Services Physical Therapist CurrentSince Feb 6, 2024 Accepting new patients

Locations

4711 Hope Valley Rd
Ste 4F417
Durham, NC 27707

Organizations & group practices 1

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": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1750148631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 HOPE VALLEY RD STE 417-4F",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075651",
            "telephone_number": "984-837-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 COURTLAND DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075134",
            "telephone_number": "984-837-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "LISA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P6909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.