Individual provider Active NPI

Lisa Chu, D.P.T., A.T.C.

  • Physical Therapist
  • Sparks, NV
National Provider Identifier
1750467197
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1304 Issued in NV
Practice address
5901 S Los Altos Pkwy
Suite 103
Sparks, NV 89436-8616
Phone
(775) 354-1188
Fax
(775) 354-1187
NPI assigned
Oct 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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 1304 NV Primary
Athletic Trainer 2255A2300X 0506116 NV

Addresses

Primary practice location

5901 S Los Altos Pkwy
Suite 103
Sparks, NV 89436-8616

Mailing address

5901 S Los Altos Pkwy
Suite 103
Sparks, NV 89436-8616
Phone (775) 354-1188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624000475 NV Practitioner - Physical Therapist in Private Practice 4981680774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Physical Therapy Associates LLCGroup PAC ID 5496757338, 2 clinicians

Practice addresses (Care Compare)

5901 S Los Altos Pkwy
Suite 103
Sparks, NV 89436-7667
Phone (775) 354-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0506116NVMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Physical Therapy Associates LLC CurrentSince Feb 1, 2007 Accepting new patients
Peter Barbieri Manual Therapy and Associates Physical Therapist Past Accepting new patients

Locations

5901 S Los Altos Pkwy
Ste 103
Sparks, NV 89436
Phone (775) 354-1188

5901 S Los Altos Pkwy
Ste 10
Sparks, NV 89436
Phone (775) 354-1188

Organizations & group practices 2

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": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1750467197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 S LOS ALTOS PKWY",
            "address_2": "SUITE 103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368616",
            "telephone_number": "775-354-1188",
            "fax_number": "775-354-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 S LOS ALTOS PKWY",
            "address_2": "SUITE 103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368616",
            "telephone_number": "775-354-1188",
            "fax_number": "775-354-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "LISA",
        "credential": "D.P.T., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1304",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.