Active NPI
Lisa Marie Carmichael Newton, DPT
- Physical Therapist
- Johns Creek, GA
National Provider Identifier
1780005645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009798
- Practice address
- 3005 Old Alabama Rd
Building E
Johns Creek, GA 30022-8594 - Phone
- (770) 552-8822
- Fax
- (770) 552-8481
- NPI assigned
- Dec 19, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009798 | GA | Primary |
Addresses
Primary practice location
3005 Old Alabama Rd
Building E
Johns Creek, GA 30022-8594
Mailing address
88 Kirkwood Rd NE
Atlanta, GA 30317-1133
Phone (770) 356-1038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009798 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1780005645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 KIRKWOOD RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303171133",
"telephone_number": "770-356-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 OLD ALABAMA RD",
"address_2": "BUILDING E",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300228594",
"telephone_number": "770-552-8822",
"fax_number": "770-552-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "LISA",
"middle_name": "MARIE CARMICHAEL",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-19",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.