Lisa Gault, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH 1772 Issued in AL

Practice address

216 Johnston St SE
Decatur, AL 35601-2516

Phone

(256) 686-2212

NPI assigned

May 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kale Dement Physical Therapy, Inc.

  • Physical Therapist
  • Decatur, AL
  • NPI 1881820603
  NPD

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1760894166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 JOHNSTON ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012516",
            "telephone_number": "256-686-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 JOHNSTON ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012516",
            "telephone_number": "256-686-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULT",
        "first_name": "LISA",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH 1772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar Olmedo Garcia Rodriguez, M.D.
• Lucinda Britton Garrett, LPC, NCC
• Amber Moore Garth, M.S. ALC
• Savannah Gates, PHARMD
• Virginia C Gates, LCSW, PIP
• Katherine C Gaut-Owens, M.S.,CCC-SLP
• Karen B. Gearhart, L.C.S.W. P.I.P.
• Genesis Rehab Services
• Katelyn Gentry, COTA/L
• Cathy Annette George, MS

• Physical Therapist in Decatur, AL
• Providers in Decatur, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.