LISA M BAUMGART M.P.T.
NPI 1184707754
Physical Therapist in Lanesboro, MA

Active since October 24, 2006Accepts Medicare Assignment
98.69/100
CMS Quality Rating
55 WILLIAMSTOWN ROAD, LANESBORO, MA 01237(413) 442-7007(413) 442-7011 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa M Baumgart M.p.t. NPPES

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

LISA M BAUMGART M.P.T. (NPI 1184707754) is an individual physical therapist in Lanesboro, Massachusetts, licensed in Massachusetts (15887) and active in the NPI registry since October 2006. She is a graduate of Other (2001).

NPPES Registry Identity

NPI1184707754
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameLISA M BAUMGARTCredential: M.P.T.
Location Address55 WILLIAMSTOWN ROADLanesboro, MA 01237
Mailing Address55 Williamstown RoadLanesboro, MA 01237 · (413) 442-7007 · Fax (413) 442-7011
Fax(413) 442-7011
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 24, 2006
Last NPPES UpdateApril 28, 2009
NPI 1184707754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MA · 15887
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

55 WILLIAMSTOWN ROAD, Lanesboro, MA 01237

Other Identifiers 7

Other40193MA · Health New England
Other5978465MA · Cigna
OtherY68083MA · Blue Cross Blue Shield
Medicaid0711683MA
Other000000038656MA · Bmc Healthnet
Medicare ID-Type UnspecifiedY68879MA
Other637747MA · Tufts

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa M Baumgart M.p.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193734531
PECOS Enrollment IDI20060413000255

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
3,415 services116 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
1,920 services116 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
101 services94 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01237 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.39
Improvement Activities40

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
55 WILLIAMSTOWN ROAD
LANESBORO, MA 01237

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 Lisa Baumgart's NPI number?

The NPI number for Lisa Baumgart is 1184707754. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Lisa Baumgart located?

Lisa Baumgart practices at 55 Williamstown Road, Lanesboro, MA 01237. The listed phone number is (413) 442-7007.

What is Lisa Baumgart's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Lisa Baumgart enrolled in Medicare?

Yes. Lisa Baumgart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Baumgart accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisa Baumgart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Baumgart was last updated on April 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.