LISA CECIL (NPI# 1073886487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073886487 |
| Entity Type | Individual |
| Full Name | LISA CECIL |
| Practice Address |
685 36th Ave Ne Salem OR 97301-4741 |
| Practice Telephone | 5033718860 |
| Mailing Telephone | 5033718860 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2018-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 005996 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
05010733A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 Holt Dr, Madison, IN 472503873 | 8122658226 | 8122658227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073866703 | Lisa Mari Cecil | Specialist | 10840 Texas Health Trail, Ste 110, Ft Worth, TX 76052 | 2012-10-18 |
| 1457582777 | Lisa Eileen Cecil | Occupational Therapist | 953 Walnut St, Suite A, Wheatland, WY 82201-2665 | 2009-08-04 |
| Street Address |
685 36TH AVE NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417934886 | Pt Northwest LLC | Clinic/Center | 685 36th Ave Ne, Salem, OR 97301-0005 | 2005-12-28 |
| 1225636772 | Erik Cronrath | Physical Therapist | 685 36th Ave Ne, Salem, OR 97301-4741 | 2020-10-15 |
| 1548875115 | Karissa Wells | Physical Therapist | 685 36th Ave Ne, Salem, OR 97301-4741 | 2020-09-10 |
| 1578173506 | Kayla Winter | Physical Therapist | 685 36th Ave Ne, Salem, OR 97301-4741 | 2020-08-04 |
| 1326657115 | Erik Keating | Physical Therapist | 685 36th Ave Ne, Salem, OR 97301-4741 | 2020-07-28 |
| 1235757386 | Caeli Brannon | Occupational Therapist | 685 36th Ave Ne, Salem, OR 97301-4741 | 2020-07-06 |
| 1457833030 | Kelsey Sandage | Occupational Therapist | 685 36th Ave Ne, Salem, OR 97301-4741 | 2018-08-30 |
| 1841780426 | Jordon Reyes | Physical Therapist | 685 36th Ave Ne, Salem, OR 97301-4741 | 2018-05-18 |
| 1700376100 | Mary Enid Brookes | Occupational Therapist | 685 36th Ave Ne, Salem, OR 97301-4741 | 2018-05-11 |
| 1487152278 | Eric Michael Jones | Physical Therapist | 685 36th Ave Ne, Salem, OR 97301-4741 | 2018-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679740609 | Ruth E Rotert | Physical Therapist | 25523 442nd Ave, Salem, SD 57058-5519 | 2008-05-08 |
| 1508047721 | Laurie English | Physical Therapist | 11 Redwood Rd, Salem, NH 03079-3489 | 2007-11-15 |
| 1083829030 | Greenwood Therapy Services | Physical Therapist | 18 Ansel St, Salem, NH 03079-4550 | 2007-05-12 |
| 1043519242 | Erin Apo | Physical Therapist | 70 Butler St, Salem, NH 03079-3974 | 2011-03-28 |
| 1609058502 | Jessica Lynn Selock | Physical Therapist | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2007-12-03 |
| 1972719870 | Jonathan Mark Greenwood | Physical Therapist | 18 Ansel St, Salem, NH 03079-4550 | 2007-05-15 |
| 1073642922 | Elizabeth Shirley | Physical Therapist | 2262 Banyonwood Ave Nw, Salem, OR 97304-1341 | 2007-03-05 |
| 1467437244 | Barbara Jacqueline Petersen | Physical Therapist | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275156101 | Pace Pediatric Therapy, Inc. | Physical Therapist | 3701 Se Milwaukie Ave Ste G, Portland, OR 97202-3835 | 2020-05-27 |
| 1427691740 | First Steps Physical Therapy, LLC | Physical Therapist | 911 Main St Ste 100, Oregon City, OR 97045-1853 | 2019-10-18 |
| 1467804773 | Rebecca D. Sander | Physical Therapist | 17113 Sw Green Heron Dr, Sherwood, OR 97140-8972 | 2016-07-11 |
| 1841426434 | Rebecca Additon Veltri | Physical Therapist | 32513 Joseph Ln, Philomath, OR 97370-9130 | 2009-06-09 |
| 1396943932 | Kathleen Marie Hogan | Physical Therapist | 132 Formac Ave, Eugene, OR 97404-2606 | 2007-07-05 |
| 1306050646 | Pediatric Therapyworks | Physical Therapist | 30714 Se Dodge Park Blvd, Gresham, OR 97080-8961 | 2007-05-09 |
| 1790814200 | Susan Nicklin | Physical Therapist | 945 S Riverside Ave, Medford, OR 97501-7841 | 2007-03-02 |
| 1396898441 | Johanna Lydia Buck | Physical Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2007-01-20 |
| 1912068941 | Sandra Lee Saavedra | Physical Therapist | 1763 Moss St, Eugene, OR 97403-1946 | 2006-12-13 |
| 1164598462 | Joy Danielle Shank | Physical Therapist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2006-11-28 |
| Find all providers with the same taxonomy | ||||
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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.