Active NPI
Lisa Davidson, PT, DPT
- Physical Therapist
- Redlands, CA
National Provider Identifier
1982519567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 291648
- Practice address
- 10 Terracina Blvd
Redlands, CA 92373-4808 - Phone
- (909) 266-7807
- NPI assigned
- Aug 17, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 291648 | CA | Primary |
Addresses
Primary practice location
10 Terracina Blvd
Redlands, CA 92373-4808
Mailing address
725 W Palm Ave
Redlands, CA 92373-5835
Phone (909) 266-7807
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1982519567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 W PALM AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735835",
"telephone_number": "909-266-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 TERRACINA BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734808",
"telephone_number": "909-266-7807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "LISA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "291648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.