Lisa Katherine Church, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

25399 Issued in FL

Practice address

1129 Professional Park Dr
Brandon, FL 33511-4887

Phone

(813) 876-8771

NPI assigned

Jun 1, 2018

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)

Not 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.

• Intuit Home Health

  • Home Health Agency
  • Riverview, FL
  • NPI 1760354096
  NPD Authorized official
• Pribila Consulting Services Inc

  • Physical Therapy Clinic/Center
  • Lakeland, FL
  • NPI 1124324363
  NPD (past)
• Therapeutic Rehab Specialists Inc.

  • Physical Therapy Clinic/Center
  • Pinellas Park, FL
  • NPI 1730354283
  NPD (past)

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1821580119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 BUTTONWOOD CT",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117962",
            "telephone_number": "813-951-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 PROFESSIONAL PARK DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114887",
            "telephone_number": "813-876-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "LISA",
        "middle_name": "KATHERINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "25399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Christian-McKeever
• Lisa Christian, MD
• James Leon Christopoulos, M.D.
• Katarzyna Chrostowski
• Pichai Chudhabuddhi Jr., LMT, CPT
• November Thea Church
• Nicole Marie Chuzie, RN
• Maureen Randall Cicatelli, M.S. CCC-SLP
• Alexander Vincent Ciccone
• Karlee Cicerchia

• Physical Therapy Assistant in Brandon, FL
• Providers in Brandon, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.