Active NPI
Lisa Jane McWhorter, RPT
- Physical Therapist
- Long Beach, CA
National Provider Identifier
1972686111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12886
- Practice address
- 2760 Atlantic Ave
Long Beach, CA 90806-2755 - Phone
- (562) 424-5198
- Fax
- (562) 427-1235
- NPI assigned
- Oct 23, 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 | PT12886 | CA | Primary |
Addresses
Primary practice location
2760 Atlantic Ave
Long Beach, CA 90806-2755
Mailing address
6092 Lee Dr
Cypress, CA 90630-3916
Phone (714) 821-4877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2760 Atlantic Ave
Long Beach, CA 90806-2755
Phone (562) 424-6666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12886 | CA | MD | Physical Therapist |
| 12886 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Orthopaedic Surgical Group | Current | Accepting new patients |
Locations
2760 Atlantic Ave
Long Beach, CA 90806
Phone (542) 424-6666
Organizations & group practices 1
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.
-
- Specialist
- Long Beach, CA
- NPI 1255414546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388793600000",
"number": "1972686111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6092 LEE DR",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303916",
"telephone_number": "714-821-4877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062755",
"telephone_number": "562-424-5198",
"fax_number": "562-427-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWHORTER",
"first_name": "LISA",
"middle_name": "JANE",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2014-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT12886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; 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.