Individual provider Active NPI

Lisa Antol, P.T.

  • Orthopedic Physical Therapist
  • Ventura, CA
National Provider Identifier
1780914044
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
4572 Telephone Rd Ste 903
Ventura, CA 93003-5663
Phone
(805) 654-8127
NPI assigned
Jan 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT33435 CA
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

4572 Telephone Rd Ste 903
Ventura, CA 93003-5663

Mailing address

4572 Telephone Rd Ste 903
Ventura, CA 93003-5663
Phone (805) 654-8127

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

LicenseStateTypeSpecialty
PT33435CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Physical Medicine and Wellness Center, Inc. Past Accepting new patients
Blayne Robinson Liparoto Orthopedic PastSince Nov 1, 2000 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1780914044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 TELEPHONE RD STE 903",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035663",
            "telephone_number": "805-654-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4572 TELEPHONE RD STE 903",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035663",
            "telephone_number": "805-654-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOL",
        "first_name": "LISA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-10",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT33435",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.