Lisara Rehab Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LISARA REHAB CENTER

Practice address

7220 Louis Pasteur Dr Ste 106
4319 Medical 131-113
San Antonio, TX 78229-4537

Phone

(210) 614-3003

Fax

(210) 692-7898

NPI assigned

Aug 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sara Elizabeth Young, PTANPI 1972797801

Title

Owner

Phone

(210) 614-3003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Sara Elizabeth Young, LPT

  • Physical Therapist
  • Bangs, TX
  • NPI 1972797801
  NPD (past) Authorized official
• David Clinton Michna, PT

  • Specialist
  • San Antonio, TX
  • NPI 1558379727
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881602977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 LOUIS PASTEUR DR STE 106",
            "address_2": "4319 MEDICAL 131-113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294537",
            "telephone_number": "210-614-3003",
            "fax_number": "210-692-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 LOUIS PASTEUR DR STE 106",
            "address_2": "4319 MEDICAL 131-113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294537",
            "telephone_number": "210-614-3003",
            "fax_number": "210-692-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISARA REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-614-3003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0019KX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Kaye Lira
• Lindsey Rejoice Lira
• Megan Lira, BCBA
• Lisa a. Davis, M.D., P.a.
• Lisara Diagnostics
• Susan Scott Lisee, LCSW
• Jannell Lising, MD
• Listen in Therapy PLLC
• Dmitry V Listengarten, MD
• Camille Padgett Liston

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.