Active NPI
Lisa Gay, PT
- Physical Therapist
- Herndon, VA
National Provider Identifier
1801098652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305003496
- Practice address
- 13350 Franklin Farm Rd
Ste. 300
Herndon, VA 20171-4091 - Phone
- (703) 234-1045
- Fax
- (703) 471-0280
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2305003496 | VA | Primary |
Addresses
Primary practice location
13350 Franklin Farm Rd
Ste. 300
Herndon, VA 20171-4091
Mailing address
15139 Wetherburn Dr
Centreville, VA 20120-3925
Phone (703) 830-3717
Other names 1
- Miss Lisa Hagemeister
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305003496 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801098652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15139 WETHERBURN DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201203925",
"telephone_number": "703-830-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13350 FRANKLIN FARM RD",
"address_2": "STE. 300",
"city": "HERNDON",
"state": "VA",
"postal_code": "201714091",
"telephone_number": "703-234-1045",
"fax_number": "703-471-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "LISA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305003496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "HAGEMEISTER",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.