Lisa M. Cotthaus, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204878 Issued in VA

Practice address

4624 Pembroke Blvd Ste 101
Virginia Beach, VA 23455-6450

Phone

(757) 460-3363

Fax

(757) 460-1809

NPI assigned

Feb 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Bryan Mauch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lebanon Physical Therapy and Rehabilitative Services, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Lebanon, VA
  • NPI 1619947678
  NPD (past)

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1922247386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69030",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649030",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 PEMBROKE BLVD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556450",
            "telephone_number": "757-460-3363",
            "fax_number": "757-460-1809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664666",
            "country_code": "US",
            "telephone_number": "276-889-4090",
            "fax_number": "276-889-4026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4624 Pembroke Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556450",
            "country_code": "US",
            "telephone_number": "757-460-3363",
            "fax_number": "757-460-1809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "272 Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664666",
            "country_code": "US",
            "telephone_number": "276-889-4090",
            "fax_number": "276-889-4026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTHAUS",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MAUCH",
            "middle_name": "BRYAN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roxanne N Costley, MA, LPC RESIDENT
• Mathieu Cote, MILITARY/SOIDC
• Taylor Coticchio, OTR/L
• Bradley Nicholas Cotrina, MD
• Jenifer Cotter, N.P.
• Andrea Lynn Cotton, FNP-C
• Elisabeth Sandstrom Cotton, MA
• Jacqueline S Cotton, M.D.
• Jonathan Cotton, CRNA
• Whitney Cotton

• Physical Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.