MRS. LISA MARIE GREGORY (NPI# 1104430040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104430040 |
Entity Type | Individual |
Full Name | MRS. LISA MARIE GREGORY |
Credential | PT |
Practice Address |
3104 Skinner Mill Rd Augusta GA 30909-1968 |
Mailing Address |
102 Cascade Dr North Augusta SC 29841-2163 |
Practice Telephone | 7065224222 |
Mailing Telephone | 8032027290 |
Enumeration Date | 2020-09-08 |
Last Update Date | 2020-09-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT005643 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104254275 | Lisa Gregory | Nurse Practitioner | 26957 Northwestern Hwy Ste 400, Southfield, MI 48033-8456 | 2013-10-28 |
1417394248 | Lisa Ann Gregory | Licensed Practical Nurse | 1704 Willowpark Ct, Powell, OH 43065-9298 | 2013-06-03 |
1154682375 | Lisa Glynis Gregory | Specialist | 172 Brushy Hill Rd, Newtown, CT 06470-2520 | 2012-06-05 |
1285710624 | Lisa Katheryn Gregory | Chiropractor | 102 E Virginia Ave, Pineville, KY 40977-1671 | 2006-10-28 |
1053793133 | Lisa Gregory | Massage Therapist | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2015-06-24 |
1730588260 | Lisa Gregory | Registered Nurse | 615 S New Ballas Rd, Creve Coeur, MO 63141-8221 | 2014-08-20 |
1881826196 | Lisa Carol Gregory | Nurse Practitioner | 1000 N 16th St, Suite # 240, New Castle, IN 47362-4319 | 2009-08-20 |
1760419949 | Lisa Gregory | Social Worker | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-06-26 |
Street Address |
3104 SKINNER MILL RD |
City | AUGUSTA |
State | GA |
Zip Code | 30909-1968 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013409226 | Haleigh Swierski Mahaffey | Speech-Language Pathologist | 3104 Skinner Mill Rd, Augusta, GA 30909-1968 | 2018-06-04 |
1447865951 | Alison Taylor Dinkins | Speech-Language Pathologist | 3104 Skinner Mill Rd, Augusta, GA 30909-1968 | 2020-09-11 |
1497315519 | Gabriela Marie Delgado | Occupational Therapist | 3104 Skinner Mill Rd, Augusta, GA 30909-1968 | 2019-06-20 |
1811457831 | Apparo Academy, Inc. | Physical Therapist | 3104 Skinner Mill Rd, Augusta, GA 30909-1968 | 2019-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
Find all providers in zip 30909 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043877459 | Hop, Skip & Jump Pediatric Physical Therapy LLC | Physical Therapist | 912 Milledge Rd, Augusta, GA 30904-4455 | 2019-05-21 |
1306881388 | Hanh P Vo-booker | Physical Therapist | 1446 Harper St # Bt2902, Augusta, GA 30912-0012 | 2006-06-16 |
1447863097 | Stephanie Nicole Habryl | Physical Therapist | 817 Crawford Ave, Augusta, GA 30904-3772 | 2020-08-24 |
1811457831 | Apparo Academy, Inc. | Physical Therapist | 3104 Skinner Mill Rd, Augusta, GA 30909-1968 | 2019-03-25 |
1356789333 | Mary Lou Stilwell | Physical Therapist | 1120 15th St, Augusta, GA 30912-0004 | 2013-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598379794 | Building Pathways Therapy LLC | Physical Therapist | 2124 Cheshire Bridge Rd Ne Apt 2006, Atlanta, GA 30324-5731 | 2020-09-04 |
1679191464 | Pt Mamas, LLC | Physical Therapist | 5660 Lake Forrest Dr, Atlanta, GA 30342-4635 | 2020-07-08 |
1336764869 | Outside The Box Pediatric Therapy Solutions | Physical Therapist | 123 Talbot Rd, Savannah, GA 31410-4015 | 2020-06-10 |
1215557921 | Carly Cee Witt Gesite | Physical Therapist | 11785 Northfall Ln Ste 501&502, Alpharetta, GA 30009-7971 | 2020-04-22 |
1669009627 | Rebecca Grant | Physical Therapist | 5461 Meridian Mark Rd Ste 300, Atlanta, GA 30342-4014 | 2020-03-26 |
1508401704 | Danielle Anderson | Physical Therapist | 2146 Thompson Ave Se, Covington, GA 30014-2819 | 2019-11-12 |
1124677919 | Therapy Trails of Evans | Physical Therapist | 536 Grand Slam Dr Ste D, Evans, GA 30809-8045 | 2019-09-05 |
1255894366 | Cicely Annette Watson | Physical Therapist | 2620 Satellite Blvd Ste 100, Duluth, GA 30096-1291 | 2019-04-08 |
1942772975 | Wee Care Pediatric Therapy, LLC | Physical Therapist | 335 Old Rail Rd, Bloomingdale, GA 31302-4025 | 2019-01-02 |
1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
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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.