Individual provider Active NPI

Lisa Marie Hanelt, PT

  • Physical Therapist
  • West Haven, CT
National Provider Identifier
1982680278
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6886 Issued in CT
Practice address
544 Campbell Ave
Physicians Physical Therapy
West Haven, CT 06516-4401
Phone
(203) 937-6150
Fax
(203) 937-8517
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6886 CT Primary

Addresses

Primary practice location

544 Campbell Ave
Physicians Physical Therapy
West Haven, CT 06516-4401

Mailing address

54 Timber TRL
Milford, CT 06460-3676
Phone (203) 876-8484

Other names 1

  • Lisa Marie Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041202000611 CT Practitioner - Physical Therapist in Private Practice 9436115342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialty Group PCGroup PAC ID 8820037898, 61 clinicians

Practice addresses (Care Compare)

305 Black Rock Tpke
Fairfield, CT 06825-5508
Phone (203) 337-2600

Merit-based Incentive Payment System (MIPS)

Final score
75.92 of 100Reported as group
Quality
58.9
Promoting interoperability
82
Improvement activities
40
Cost
75.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6886CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Physical Therapy Physical Therapist PastSince Aug 28, 2009 Accepting new patients
Orthopaedic Specialty Group, P.C. Past Accepting new patients
Skin Docs, LLC Past Accepting new patients
Fairfield Podiatry Associates LLC PastSince Jul 1, 2015 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982680278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 TIMBER TRL",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603676",
            "telephone_number": "203-876-8484",
            "fax_number": "203-876-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 CAMPBELL AVE",
            "address_2": "PHYSICIANS PHYSICAL THERAPY",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164401",
            "telephone_number": "203-937-6150",
            "fax_number": "203-937-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANELT",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "6886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CLARK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.