LISA A WEATHERS (NPI# 1598085730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598085730 |
| Entity Type | Individual |
| Full Name | LISA A WEATHERS |
| Credential | PT |
| Practice Address |
1707 S Colorado St Suite A Greenville MS 38703-7275 |
| Practice Telephone | 6623358332 |
| Practice Fax Number | 6623358852 |
| Mailing Telephone | 6623358332 |
| Mailing Fax Number | 6623358852 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PT4686 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BCBS | 640925683 | 01 |
| MS | 09015486 | 05 |
| Street Address |
1707 S COLORADO ST SUITE A |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-7275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841219458 | Troy Neil Armstrong | Specialist/Technologist | 1707 S Colorado St, Greenville, MS 38701 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| Find all providers in zip 38703 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427420892 | Embody Orthopedic & Sports Physical Therapy, LLC | Physical Therapist | 1440 Pelham Rd Ste A, Greenville, SC 29615-3900 | 2015-10-26 |
| 1437706819 | Taylor Nolan | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2019-08-21 |
| 1841755444 | Adam Kenneth Reckenbeil | Physical Therapist | 1540 E Arlington Blvd, Greenville, NC 27858-5870 | 2019-02-07 |
| 1962426858 | Jacob Thorp | Physical Therapist | 2325 Stantonsburg Rd, Greenville, NC 27834-7534 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538723564 | Dwayne Patrick Bonvillain | Physical Therapist | 3615 Hospital St Ste B, Pascagoula, MS 39581-4112 | 2019-04-25 |
| 1548765670 | Gulf Coast Mental Health Center | Physical Therapist | 1600 Broad Avenue, Gulfport, MS 39501 | 2018-03-29 |
| 1265746309 | Physical Therapy Professionals | Physical Therapist | 2900 Melton Ave, Pascagoula, MS 39581-4120 | 2010-07-30 |
| City | GREENVILLE |
| Zip Code | 38703 |
Please comment or provide details below to improve the information on LISA A WEATHERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.