Lisa Beard

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501011557 Issued in MI

Practice address

1887 Edson Dr
Hudsonville, MI 49426-8737

Phone

(616) 304-7071

NPI assigned

Jan 29, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1790376184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 EDSON DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268737",
            "telephone_number": "616-304-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 EDSON DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268737",
            "telephone_number": "616-304-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501011557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenadie Baareman
• Paige Bachelor
• Steven Roy Bartz, PHYSICAL THERAPIST
• Kelly C. Baykowski, LLMSW
• Kristiane Marie Beach, LMSW
• Erin Beaudry
• Madeline Jane Beld, NP
• Jenna Belote, DPT
• Meagan Elizabeth Bender, NP
• Joel Bergwerff

• Physical Therapy Clinic/Center in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.