Lisa Depaul, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8875 Issued in CA

Practice address

1642 W Avenue J
Lancaster, CA 93534-2814

Phone

(661) 942-8463

NPI assigned

Jan 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1972991487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 RELA WAY W",
            "city": "QUARTZ HILL",
            "state": "CA",
            "postal_code": "935362511",
            "telephone_number": "734-276-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-942-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAUL",
        "first_name": "LISA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "8875",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "03425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delias Villa LLC
• Tangela Monet Demery
• Lashawna Marcia Dennis
• Dominique Denny, LCSW
• Farah Dorothy Depalm, M.A.
• Dependable Senior Assistants LLC.
• Lajuana Derico, RN
• Tina Louise Derienzo, CPRP
• Himani Desai, D.D.S
• Manish Jayesh Desai, D.O

• Physical Therapy Assistant in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.