Active NPI
Lisa Julien, PT
- Physical Therapist
- Lake Mary, FL
National Provider Identifier
1992012397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25855
- Practice address
- 400 International Pkwy
Suite 300
Lake Mary, FL 32746-5061 - Phone
- (800) 806-6026
- NPI assigned
- Sep 7, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 25855 | FL | Primary |
Addresses
Primary practice location
400 International Pkwy
Suite 300
Lake Mary, FL 32746-5061
Mailing address
123 Bassett St
West Haven, CT 06516-5240
Phone (203) 983-9556
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25855 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1992012397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 BASSETT ST",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065165240",
"telephone_number": "203-983-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 INTERNATIONAL PKWY",
"address_2": "SUITE 300",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465061",
"telephone_number": "800-806-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIEN",
"first_name": "LISA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "25855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.