Lise Daly Garger, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2003010144 Issued in MO

Practice address

12266 Depaul Drive
Suite 115
Bridgeton, MO 63044

Phone

(314) 209-7700

Fax

(314) 209-7705

NPI assigned

Aug 30, 2006

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

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.

• Tri Doctors Rehabilitation Group PC

  • Chiropractor
  • Saint Louis, MO
  • NPI 1275690638
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1780794875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 BARCROFT WOODS CT",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630216912",
            "telephone_number": "314-838-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12266 DEPAUL DRIVE",
            "address_2": "SUITE 115",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-209-7700",
            "fax_number": "314-209-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGER",
        "first_name": "LISE",
        "middle_name": "DALY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2003010144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Funk
• Richard Bonsra Fynn, MD,DPM
• G. C. Franke, D.O., Inc.
• Sandra J Gage, MA, LPC
• Dinu P Gangure, MD
• Vince Anthony Corro Garin, MD
• Vicki Garvey
• Zyiah Gates
• Gateway Counseling, Inc
• Gateway Midwest Healthcare

• Physical Therapist in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.