Active NPI
Kirsten Tyler Lisk, DPT
- Physical Therapist
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1348101
- Practice address
- 819 W Arapaho Rd Ste 40
Richardson, TX 75080-5039 - Phone
- (214) 377-7349
- Fax
- (214) 377-7409
- NPI assigned
- Aug 8, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011633 | GA | |
| Physical Therapist | 225100000X | 1348101 | TX | Primary |
Addresses
Primary practice location
819 W Arapaho Rd Ste 40
Richardson, TX 75080-5039
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-8907
Other practice location 1
7951 Collin McKinney Pkwy Ste 700
McKinney, TX 75070-7852
Phone (214) 495-0763
Other names 1
- Kirsten Tyler White
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141023002496 | GA | Practitioner - Physical Therapist in Private Practice | 8224259825 | Reassigns benefits to 2 organizations |
| I20210807000171 | TX | Practitioner - Physical Therapist in Private Practice | 8224259825 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1348101 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| All in All Neuro Rehab and Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Current | Accepting new patients | |
| Benchmark Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Peak Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
1205 Johnson Ferry Rd
Ste 130
Marietta, GA 30068
Phone (770) 565-3201
11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390
7951 Collin McKinney Pkwy
Ste 700
McKinney, TX 75070
Phone (214) 495-0763
819 W Arapaho Rd
Ste 40
Richardson, TX 75080
Phone (214) 377-7349
Organizations & group practices 8
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.
-
- Physical Therapy Clinic/Center
- North Richland Hills, TX
- NPI 1942812821
Physical Therapist, TX
-
- Physical Therapist
- Prosper, TX
- NPI 1700271913
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
GA, Physical Therapist
-
- Physical Therapist
- Wylie, TX
- NPI 1861887069
-
- Physical Therapist
- Riverdale, GA
- NPI 1427000777
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1770837445
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- All in All Neuro Rehab and Wellness LLC
Practice addresses (Care Compare)
North Richland Hills, TX 76182
Phone (214) 458-3588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1992114409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212564",
"telephone_number": "423-238-8907",
"fax_number": "423-362-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 W ARAPAHO RD STE 40",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805039",
"telephone_number": "214-377-7349",
"fax_number": "214-377-7409"
}
],
"practiceLocations": [
{
"address_1": "7951 Collin McKinney Pkwy Ste 700",
"address_purpose": "LOCATION",
"city": "McKinney",
"state": "TX",
"postal_code": "750707852",
"country_code": "US",
"telephone_number": "214-495-0763",
"fax_number": "214-383-1492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LISK",
"first_name": "KIRSTEN",
"middle_name": "TYLER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-08",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011633",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1348101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTEN",
"last_name": "WHITE",
"middle_name": "TYLER",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.