Lisa Redavid, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031580-1 Issued in NY

Practice address

17 E 13TH St
New York, NY 10003-4480

Phone

(631) 298-5367

Fax

(631) 298-3810

NPI assigned

Sep 11, 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

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uchealth Community ServicesGroup PAC ID 5395024905, 130 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Uchealth Community Services

  • Physical Therapist
  • Englewood, CO
  • NPI 1841740693
  Medicare reassignment Care Compare group NPD
• Uchealth Community Services

  • Physical Therapist
  • Littleton, CO
  • NPI 1275167371
  NPD
• Christopher Showalter PT PC

  • Specialist
  • New York, NY
  • NPI 1245418003
  NPD (past)
• Physical Therapy Expert, PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1770741969

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477785600000",
    "number": "1962735704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "SUITE 615E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112803",
            "telephone_number": "303-694-3333",
            "fax_number": "303-221-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034480",
            "telephone_number": "631-298-5367",
            "fax_number": "631-298-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDAVID",
        "first_name": "LISA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2016-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031580-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamid Reda, PHARMD
• Richard Joseph Reda, DPT
• Robert C Reda, LCSW
• Rosanna Reda, RPA-C
• Sarah Alicia Reda
• Natalie Redcross, PHD
• Butler Redd III, DDS
• Lindsey Redd
• Erin Carroll Reddan
• Arron Reddick Jr.

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.