Lisa Rae Ford, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0008879 Issued in CO

Practice address

101 W 11TH St Ste 107
Durango, CO 81301-5108

Phone

(970) 749-4395

NPI assigned

Sep 17, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474070400000",
    "number": "1972051068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 ELK HORN MOUNTAIN RD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813013765",
            "telephone_number": "970-749-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 11TH ST STE 107",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015108",
            "telephone_number": "970-749-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "LISA",
        "middle_name": "RAE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-17",
        "last_updated": "2016-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0008879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Cecelia Fogel
• Ramona Kay Fonseca-Nava, RN
• Joyce Fontana, PHD NP
• Louis Carl Fontana, RPH. MS, JD.
• Melissa Foote, BCBA
• Patricia A Ford
• Karen M Forest, RN
• Josiah Alan Forkner, MA
• James Forleo, D.C.
• Jennifer Forrest, MD

• Physical Therapist in Durango, CO
• Providers in Durango, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; 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.