Active NPI
Lisa M Tomnitz, PT
- Physical Therapist
- Gilbert, AZ
National Provider Identifier
1922017227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5815
- Practice address
- 2940 E Banner Gateway Dr
Suite 425
Gilbert, AZ 85234-2168 - Phone
- (480) 813-7900
- Fax
- (480) 813-7901
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5815 | AZ | Primary |
Addresses
Primary practice location
2940 E Banner Gateway Dr
Suite 425
Gilbert, AZ 85234-2168
Mailing address
1825 E Boise St
Mesa, AZ 85203-8213
Phone (602) 499-4647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5815 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Dynamic Rehab Hand Therapy, Inc | Past | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Locations
14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362
Organizations & group practices 5
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.
-
- Physical Therapist
- Peoria, AZ
- NPI 1629698147
-
- Physical Therapy Clinic/Center
- Glendale, AZ
- NPI 1235654237
-
- Physical Therapy Clinic/Center
- Peoria, AZ
- NPI 1285271684
-
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
-
- Customized Equipment (DME)
- Gilbert, AZ
- NPI 1295926350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1922017227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 E BOISE ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852038213",
"telephone_number": "602-499-4647",
"fax_number": "480-813-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 E BANNER GATEWAY DR",
"address_2": "SUITE 425",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342168",
"telephone_number": "480-813-7900",
"fax_number": "480-813-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMNITZ",
"first_name": "LISA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.