Active NPI
Lisa Andrea Friedman, PT
- Physical Therapist
- Gearhart, OR
National Provider Identifier
1932208337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3604
- Practice address
- 3045 Highway 101 N Ste 11-142
Gearhart, OR 97138-4354 - Phone
- (808) 346-8808
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3045 | OR | |
| Physical Therapist | 225100000X | 3604 | HI | Primary |
Addresses
Primary practice location
3045 Highway 101 N Ste 11-142
Gearhart, OR 97138-4354
Mailing address
3045 Highway 101 N Ste 11-142
Gearhart, OR 97138-4354
Phone (808) 346-8808
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3045 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1932208337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3045 HIGHWAY 101 N STE 11-142",
"city": "GEARHART",
"state": "OR",
"postal_code": "971384354",
"telephone_number": "808-346-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 HIGHWAY 101 N STE 11-142",
"city": "GEARHART",
"state": "OR",
"postal_code": "971384354",
"telephone_number": "808-346-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "LISA",
"middle_name": "ANDREA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2022-10-06",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3045",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "3604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gearhart, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.