Lisa Nicole Demattia, PT/DPT/OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37939 Issued in CA

Practice address

25495 Medical Center Dr Ste 304
Murrieta, CA 92562

Phone

(951) 696-7474

Fax

(951) 696-7575

NPI assigned

May 6, 2008

Last updated

Nov 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa Nicole Lyle Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redhawk Physical Therapy IncGroup PAC ID 8921439589, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Redhawk Physical Therapy, Inc.

  • Physical Therapist
  • Temecula, CA
  • NPI 1609407949
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575072000000",
    "number": "1841466182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37354 VALLEY SPRING WAY",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631854",
            "telephone_number": "360-303-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25495 MEDICAL CENTER DR STE 304",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-696-7474",
            "fax_number": "951-696-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTIA",
        "first_name": "LISA",
        "middle_name": "NICOLE",
        "credential": "PT/DPT/OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2019-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "37939",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LYLE",
            "middle_name": "NICOLE",
            "credential": "PT/DPT/OCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eduardo Delgado, CCC-SLP
• Jennifer Rebecca Delgado
• Jordan Deliman, DPM
• Eleana Elizabeth Delpesh
• Deluna Dental Corporation (Murrieta Dental Excellence)
• Demetrios Spine and Wellness Physical Therapy, Inc.
• Matthew Denney
• Michelle Dennis
• Cindy G Denuccio, MFT
• Jordan Jonathan Derain

• Physical Therapist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2019; 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.