Active NPI
Lisa Marie Philippon, D.P.T.
- Physical Therapist
- Wooster, OH
National Provider Identifier
1992232730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016795
- Practice address
- 3514 Evergreen Dr
Wooster, OH 44691-9062 - Phone
- (330) 749-5323
- NPI assigned
- May 11, 2017
- 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 | PT016795 | OH | Primary |
Addresses
Primary practice location
3514 Evergreen Dr
Wooster, OH 44691-9062
Mailing address
3514 Evergreen Dr
Wooster, OH 44691-9062
Phone (330) 749-5323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT016795 | Other | OH | OHIO STATE PHYSICAL THERAPY LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016795 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1992232730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3514 EVERGREEN DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446919062",
"telephone_number": "330-749-5323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3514 EVERGREEN DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446919062",
"telephone_number": "330-749-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIPPON",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT016795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE PHYSICAL THERAPY LICENSE",
"identifier": "PT016795",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.