Lisa Lynn Sutton, M.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16590 Issued in CA

Practice address

770 Tamalpais Dr Ste 203
Corte Madera, CA 94925-1736

Phone

(415) 706-0416

NPI assigned

Jul 25, 2006

Last updated

Mar 16, 2018By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1982627477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 TAMALPAIS DR STE 203",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251736",
            "telephone_number": "415-706-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 TAMALPAIS DR STE 203",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251736",
            "telephone_number": "415-706-0416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Lomita Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Mill Valley",
            "state": "CA",
            "postal_code": "949411462",
            "country_code": "US",
            "telephone_number": "415-383-5520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "credential": "M.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "16590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan K Stottlemyer, PA
• Eileen Marie Sullivan, MFT; PHD
• Stephen H. Sulmeyer, PH.D.
• Whitney Sutak, AMFT
• Elizabeth Suti, LMFT
• Suzanne B. Hanson DC a Chiropractic Corporation (Hanson Family Chiropractic)
• Glorianna Rose Sweeny
• Synergy Plus Physical Therapy Inc
• Synergy Plus PT and Pilates Inc
• Synergy Plus PT Inc

• Physical Therapist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.