Jill Burnett Lisk, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-008290 Issued in IL

Practice address

4110 S Water Tower PL
Mount Vernon, IL 62864-6544

Phone

(618) 242-1100

Fax

(618) 248-5148

NPI assigned

May 1, 2006

Last updated

Jun 13, 2023By 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 IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rci (WRS), LLC.

  dba RUSH Physical Therapy

  • Physical Therapy Clinic/Center
  • Mount Prospect, IL
  • NPI 1417561655

  Physical Therapist

  Medicare reassignment NPD
• Select Physical Therapy Holdings, Inc.

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Benton, IL
  • NPI 1992352215
  Medicare reassignment
• Rci (WRS), LLC

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Elmhurst, IL
  • NPI 1154326130
  NPD
• Rci (WRS), LLC

  • Physical Therapy Clinic/Center
  • Mokena, IL
  • NPI 1568160950
  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1942475488

  Physical Therapist

  NPD
• Select Physical Therapy Holdings, Inc.

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Marion, IL
  • NPI 1386243020

  Physical Therapist

  NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1982662920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 S WATER TOWER PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646544",
            "telephone_number": "618-242-1100",
            "fax_number": "618-248-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 S WATER TOWER PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646544",
            "telephone_number": "618-242-1100",
            "fax_number": "618-248-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISK",
        "first_name": "JILL",
        "middle_name": "BURNETT",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-008290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taylor Lockowitz, PHARMD
• Lormed LLC

• Physical Therapist in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.