Active NPI
Lisa Lollis, DPT
- Physical Therapist
- Dover, NH
National Provider Identifier
1760880108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3809
- Practice address
- 51 Webb PL Ste 320
Dover, NH 03820-2463 - Phone
- (603) 834-9116
- Fax
- (603) 834-9123
- NPI assigned
- Dec 17, 2014
- Last updated
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305209189 | VA | |
| Physical Therapist | 225100000X | 15369 | NC | |
| Physical Therapist | 225100000X | 3809 | NH | Primary |
Addresses
Primary practice location
51 Webb PL Ste 320
Dover, NH 03820-2463
Mailing address
118 Portsmouth Ave Ste B101
Stratham, NH 03885-4434
Phone (603) 580-4494
Other names 1
- Lisa Colombo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305209189 | VA | MD | Physical Therapist |
| 3809 | NH | MD | Massage Therapist |
| 15369 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceanside Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
51 Webb Pl
Ste 320
Dover, NH 03820
Phone (603) 580-4494
118 Portsmouth Ave
Ste B101
Stratham, NH 03885
Phone (603) 580-4494
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.
-
- Physical Therapist
- Stratham, NH
- NPI 1962777227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1760880108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 PORTSMOUTH AVE STE B101",
"city": "STRATHAM",
"state": "NH",
"postal_code": "038854434",
"telephone_number": "603-580-4494",
"fax_number": "603-580-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 WEBB PL STE 320",
"city": "DOVER",
"state": "NH",
"postal_code": "038202463",
"telephone_number": "603-834-9116",
"fax_number": "603-834-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOLLIS",
"first_name": "LISA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-17",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305209189",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "15369",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "COLOMBO",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.