NPIMap

Organization Active NPI

Lisa Munroe, DPT, PLLC

  • Physical Therapist
  • Boylston, MA
National Provider Identifier
1821610908
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LISA MUNROE, DPT, PLLC
Practice address
22 Smallwood Cir
Boylston, MA 01505-2100
Phone
(774) 722-2168
Fax
(888) 981-2692
NPI assigned
May 12, 2020
Last updated
Jun 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Lisa Munroe, DPTNPI 1154941235
Title
Owner
Phone
(774) 722-2168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

22 Smallwood Cir
Boylston, MA 01505-2100

Mailing address

22 Smallwood Cir
Boylston, MA 01505-2100
Phone (774) 722-2168

National Provider Directory

National Provider Directory

Locations

93 West St
#A15
Medfield, MA 02052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1821610908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SMALLWOOD CIR",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015052100",
            "telephone_number": "774-722-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SMALLWOOD CIR",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015052100",
            "telephone_number": "774-722-2168",
            "fax_number": "888-981-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA MUNROE, DPT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "MUNROE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-722-2168",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boylston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.