DR. LISA MARIE-MONE FOURKAS (NPI# 1699043802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699043802 |
| Entity Type | Individual |
| Full Name | DR. LISA MARIE-MONE FOURKAS |
| Other Name | LISA MARIE MONE |
| Credential | PT, DPT, CPA (INACTI |
| Practice Address |
1601 South Deanza Blvd Suite 111 Cupertino CA 95014 |
| Mailing Address |
862 Quetta Ave Sunnyvale CA 94087-1254 |
| Practice Telephone | 4082572225 |
| Practice Fax Number | 4082572485 |
| Mailing Telephone | 4088309761 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 25938 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
25938 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 68 Willow Rd, Menlo Park, CA 940253653 | 8668396979 |
| Street Address |
1601 SOUTH DEANZA BLVD SUITE 111 |
| City | CUPERTINO |
| State | CA |
| Zip Code | 95014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343500 | Voong Chuang LLC | Podiatrist | 1030 Pennington Ln, Cupertino, CA 95014 | 2018-07-23 |
| 1083114748 | Michelle T Vo | Social Worker | 19000 Homestead Rd Fl 2, Cupertino, CA 95014 | 2018-02-19 |
| 1437686797 | Yi Shou Chang | Acupuncturist | 20600 Mariani Ave Ste D, Cupertino, CA 95014 | 2017-05-17 |
| 1023553732 | Crossover Health Medical Group | Specialist | 19500 E. Homestead Rd., Cupertino, CA 95014 | 2017-01-04 |
| 1831649359 | Victoria Cheong | Occupational Therapist | 10050 N. Wolfe Road, Sw1-190, Cupertino, CA 95014 | 2016-10-07 |
| 1437532678 | Venus Tsai | Optometrist | 10123 North Wolfe Road, Cupertino, CA 95014 | 2015-07-07 |
| 1356731608 | Man-pik Lo, D.d.s., Inc. | Dentist | 20395 Pacifica Drive, Ste. 110, Cupertino, CA 95014 | 2015-01-26 |
| 1760826101 | Seiyu Kageyama | Acupuncturist | 10835 N. Wolfe Road., Cupertino, CA 95014 | 2013-04-27 |
| 1508141193 | Kuo-jui Huang | Acupuncturist | 10325 S. Tantau Ave., Cupertino, CA 95014 | 2011-10-15 |
| 1841598109 | Adi Hendler | Counselor | 10330 Colby Ave., Cupertino, CA 95014 | 2011-03-09 |
| Find all providers in zip 95014 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467501445 | Sandra Leigh Chan | Physical Therapist | 10050 N Wolfe Rd, Sw1-190, Cupertino, CA 95014-2519 | 2007-01-09 |
| 1396754396 | Frances Jean Axelrad | Physical Therapist | 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014-2112 | 2006-08-07 |
| 1689669343 | Garrett K Akahoshi | Physical Therapist | 21269 Stevens Creek Blvd Ste 618, Cupertino, CA 95014-5728 | 2005-09-19 |
| 1265903538 | Derek Azzopardi | Physical Therapist | 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014-2112 | 2018-12-16 |
| 1720563547 | Stefanie Dufresne | Physical Therapist | 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014-2112 | 2018-09-27 |
| 1780179721 | Kimberly Jayne Pauley | Physical Therapist | 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014-2112 | 2018-06-22 |
| 1003334939 | Nicole-ha Vo | Physical Therapist | 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014-2112 | 2017-08-30 |
| 1588180434 | Alex Liang | Physical Therapist | 10580 S De Anza Blvd, Cupertino, CA 95014-4450 | 2017-08-22 |
| 1831610542 | Lyle Anthony Pavuk | Physical Therapist | 20823 Stevens Creek Blvd, #200, Cupertino, CA 95014 | 2017-07-03 |
| 1104217660 | Drashti Modi | Physical Therapist | 20823 Stevens Creek Blvd, #200, Cupertino, CA 95014-2108 | 2015-02-05 |
| Find all providers in CUPERTINO | ||||
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| 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.