LISA SHIPP LAKE (NPI# 1649560657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649560657 |
| Entity Type | Individual |
| Full Name | LISA SHIPP LAKE |
| Credential | PT |
| Practice Address |
4435 Mangum Dr Suite A Flowood MS 39232-2114 |
| Practice Telephone | 6019320305 |
| Mailing Telephone | 6019320305 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT0691 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831372234 | Lisa Ramsland Lake | Occupational Therapist | 4517 Callie Downs Drive, Gainesville, GA 30506-5126 | 2007-12-10 |
| 1316412364 | Lisa Lake | Contractor | 1776 Century Blvd Ne, Atlanta, GA 30345-3397 | 2018-10-05 |
| 1013398023 | Lisa Ann Lake | Nurse Practitioner | 1225 S Gear Ave, Suite 159, West Burlington, IA 52655-1691 | 2015-06-16 |
| Street Address |
4435 MANGUM DR SUITE A |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548541295 | Tonya Ladawn Vance | Occupational Therapist | 4435 Mangum Dr, Flowood, MS 39232-2114 | 2011-09-07 |
| 1144510702 | Mark F Ware | Physical Therapist | 4435 Mangum Dr, Suite A, Flowood, MS 39232-2114 | 2011-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645684 | Champion Physical Therapy, LLC | Physical Therapist | 901 Lakeland Pl Ste 9, Flowood, MS 39232-6633 | 2020-07-01 |
| 1962030353 | Sara Greer | Physical Therapist | 121 Britton Cir, Flowood, MS 39232-8110 | 2020-03-31 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1700364460 | Christopher Brandon Alford | Physical Therapist | 151 E Metro Dr Ste 202, Flowood, MS 39232-4405 | 2018-08-03 |
| 1992051916 | Marilyn R. Vockroth | Physical Therapist | 4436 Mangum Dr, Suite B, Flowood, MS 39232-2113 | 2012-07-27 |
| 1871858241 | Andrew Wayne Duggar | Physical Therapist | 151 E Metro Dr Ste 106, Flowood, MS 39232-4403 | 2012-07-11 |
| 1679877336 | Robbin J Lee | Physical Therapist | 4301 Lakeland Dr, Flowood, MS 39232-8947 | 2011-01-10 |
| 1003116062 | James O Farrell Jr. | Physical Therapist | 901 Lakeland Place, Suite 9, Flowood, MS 39232-6633 | 2010-10-25 |
| 1689895047 | The Strength Center LLC | Physical Therapist | 4435 Mangum Drive, Suite A, Flowood, MS 39232 | 2007-05-02 |
| 1346317344 | Specialized Physical Therapy | Physical Therapist | 533b Keyway Dr, Flowood, MS 39232-8809 | 2006-11-29 |
| Find all providers in FLOWOOD | ||||
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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.