Individual provider Active NPI

Lisa Marie Thompson, DPT

  • Physical Therapist
  • Cadillac, MI
National Provider Identifier
1750761664
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017227 Issued in MI
Practice address
8872 Professional Dr
Suite C
Cadillac, MI 49601-8481
Phone
(231) 876-0010
Fax
(231) 876-1246
NPI assigned
Jun 5, 2015
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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 5501017227 MI Primary

Addresses

Primary practice location

8872 Professional Dr
Suite C
Cadillac, MI 49601-8481

Mailing address

8872 Professional Dr
Suite C
Cadillac, MI 49601-8481
Phone (231) 876-0010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701002320 MI Practitioner - Physical Therapist in Private Practice 9739491804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pursuit Physical TherapyGroup PAC ID 9436560778, 7 clinicians

Practice addresses (Care Compare)

338 S Cedar St
Kalkaska, MI 49646-5117
Phone (231) 564-8126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pursuit Physical Therapy Physical Therapist CurrentSince Jul 22, 2022 Accepting new patients

Locations

515 W Fourteenth St
Unit A
Traverse City, MI 49684
Phone (231) 941-5010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1750761664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR",
            "address_2": "SUITE C",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018481",
            "telephone_number": "231-876-0010",
            "fax_number": "231-876-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR",
            "address_2": "SUITE C",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018481",
            "telephone_number": "231-876-0010",
            "fax_number": "231-876-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.