Individual provider Active NPI

Lisa Cushing, PT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1801930557
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1102681 Issued in KS
Practice address
7111 E 21St St N Ste 103
Wichita, KS 67206-1090
Phone
(316) 269-1311
Fax
(316) 269-1588
NPI assigned
Feb 16, 2007
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1102681 KS Primary

Addresses

Primary practice location

7111 E 21St St N Ste 103
Wichita, KS 67206-1090

Mailing address

200 W Douglas Ave Ste 250
Wichita, KS 67202-3002
Phone (316) 263-0003

Other identifiers 1

IdentifierTypeStateIssuer
200608760BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000056 KS Practitioner - Physical Therapist in Private Practice 2365596913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

3730 N Ridge Rd
Suite 500
Wichita, KS 67205-1233
Phone (316) 440-4901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1102681KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC Physical Therapist CurrentSince Jan 14, 2011 Accepting new patients
Advanced PT LLC Physical Therapist CurrentSince Jan 14, 2011 Accepting new patients
Advanced PT LLC Physical Therapist Current Accepting new patients
Advanced PT, LLC PastSince Dec 1, 2014 Accepting new patients
Advanced Orthopaedic Associates, PA PastSince Jul 23, 2023 Accepting new patients
Advanced Orthopaedic Associates, P.a. PastSince Jul 23, 2023 Accepting new patients
Advanced PT McPherson LLC Physical Therapist Past Accepting new patients

Locations

200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554

2081 N Webb Rd
Wichita, KS 67206
Phone (316) 269-1311

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

7111 E 21st St N
Ste 103
Wichita, KS 67206
Phone (316) 269-1311

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIHFAA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1801930557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023002",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 E 21ST ST N STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061090",
            "telephone_number": "316-269-1311",
            "fax_number": "316-269-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHING",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1102681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200608760B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.