Individual provider Active NPI

Kirsten Tyler Lisk, DPT

  • Physical Therapist
  • Richardson, TX
National Provider Identifier
1992114409
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1348101 Issued in TX
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

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1348101TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Aug 2, 2021 Accepting new patients
All in All Neuro Rehab and Wellness LLC Physical Therapist CurrentSince Jan 27, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC CurrentSince Aug 23, 2014 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Aug 23, 2014 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 23, 2014 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 23, 2014 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Aug 2, 2021 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.

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 18 clinicians

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.

Verify at the official NPI Registry.