Individual provider Active NPI

Lisa Cathleen Speer-Huet, PHYSICAL THERAPIST

  • Physical Therapist
  • Fallbrook, CA
National Provider Identifier
1902005226
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33324 Issued in CA
Practice address
1657 Norstar LN
Fallbrook, CA 92028-9573
Phone
(760) 731-8965
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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 33324 CA Primary

Addresses

Primary practice location

1657 Norstar LN
Fallbrook, CA 92028-9573

Mailing address

1657 Norstar LN
Fallbrook, CA 92028-9573
Phone (760) 731-8965

Other names 1

  • Miss Lisa Cathleen Speer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33324CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1902005226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 NORSTAR LN",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920289573",
            "telephone_number": "760-731-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 NORSTAR LN",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920289573",
            "telephone_number": "760-731-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEER-HUET",
        "first_name": "LISA",
        "middle_name": "CATHLEEN",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SPEER",
            "middle_name": "CATHLEEN",
            "prefix": "MISS",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.