Lisa Anne Gregoire, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2958 Issued in HI

Practice address

1758 Wili PA Loop
Wailuku, HI 96793

Phone

(808) 243-7870

Fax

(808) 243-7871

NPI assigned

Jan 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Anne Koutiel Former name

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bodies in Motion LLCGroup PAC ID 1759562630, 5 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Bodies in Motion, LLC

  • Physical Therapist
  • Kihei, HI
  • NPI 1841591500
  Medicare reassignment Care Compare group NPD
• Kimura Physical Therapy

  • Physical Therapy Clinic/Center
  • Kihei, HI
  • NPI 1891937231

  Physical Therapist

  Medicare reassignment NPD
• Physical Therapy at Pukalani, LLC

  • Physical Therapy Clinic/Center
  • Makawao, HI
  • NPI 1073198115

  Physical Therapist

  Medicare reassignment NPD
• Bodywise LLC

  • Physical Therapy Clinic/Center
  • Haiku, HI
  • NPI 1235813254
  NPD Authorized official
• Darrin Huth Inc.

  • Physical Therapist
  • Pukalani, HI
  • NPI 1083668891
  NPD

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1982840401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 WILI PA LOOP",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "96793",
            "telephone_number": "808-243-7870",
            "fax_number": "808-243-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 WILI PA LOOP",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "96793",
            "telephone_number": "808-243-7870",
            "fax_number": "808-243-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOIRE",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KOUTIEL",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda D Grainger, MS CCC SLP
• Paul W. Grandon, MD
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• Lillian Jean Green, RBT
• Gregory Park MD Inc
• Jaelynn Griess, PT, DPT
• Michelle Grimm
• Mikella Grobe
• Group Therapy Maui

• Physical Therapist in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.