Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LISA PT LLC
NPI 1073243762
Clinic/Center - Physical Therapy in Interlochen, MI

Active since June 15, 2022
1794 ROUND LAKE RD, INTERLOCHEN, MI 49643(305) 467-9421(305) 686-2397 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 18, 2026, Aug 7, 2026, Aug 23, 2022 (3 updates tracked since 2022).

About Dr. Lisa Pt Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA PT LLC (NPI 1073243762) is a healthcare organization registered as a physical therapy in Interlochen, Michigan and active in the NPI registry since June 2022. The organization lists Lisa Fernandez, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1073243762
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameDR. LISA PT LLC
Location Address1794 ROUND LAKE RDInterlochen, MI 49643-8435
Mailing Address1794 Round Lake RdInterlochen, MI 49643-8435 · (305) 467-9421 · Fax (305) 686-2397
Fax(305) 686-2397
Organization SubpartNo
Authorized OfficialLisa FernandezOwner/managing Member · (305) 467-9421
Enumeration DateJune 15, 2022
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
NPI 1073243762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
1794 ROUND LAKE RD, Interlochen, MI 49643

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1794 ROUND LAKE RD
INTERLOCHEN, MI 49643

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Lisa Pt LLC's NPI number?

The NPI number for Dr. Lisa Pt LLC is 1073243762. It was assigned to this organization in the NPPES registry on June 15, 2022.

Where is Dr. Lisa Pt LLC located?

Dr. Lisa Pt LLC is located at 1794 Round Lake Rd, Interlochen, MI 49643. The listed phone number is (305) 467-9421.

What is Dr. Lisa Pt LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Dr. Lisa Pt LLC was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.