Individual provider Active NPI

Lisa Lollis, DPT

  • Physical Therapist
  • Dover, NH
National Provider Identifier
1760880108
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3809 Issued in NH
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210209002557 NH Practitioner - Physical Therapist in Private Practice 7214233378 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305209189VAMDPhysical Therapist
3809NHMDMassage Therapist
15369NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2021 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.

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.

Verify at the official NPI Registry.