DR. LISA LICEAGA, LLC
NPI 1447944830
Clinic/Center - Medical Specialty in Altamonte Springs, FL
About Dr. Lisa Liceaga, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA LICEAGA, LLC (NPI 1447944830) is a healthcare organization registered as a medical specialty in Altamonte Springs, Florida and active in the NPI registry since June 2023. The organization lists Lisa Liceaga, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Lisa Liceaga, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Lisa Liceaga, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Liceaga, LLC's NPI number?
The NPI number for Dr. Lisa Liceaga, LLC is 1447944830. It was assigned to this organization in the NPPES registry on June 7, 2023.
Where is Dr. Lisa Liceaga, LLC located?
Dr. Lisa Liceaga, LLC is located at 831 S State Road 434, Altamonte Springs, FL 32714. The listed phone number is (407) 587-8600.
What is Dr. Lisa Liceaga, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Dr. Lisa Liceaga, LLC enrolled in Medicare?
Yes. Dr. Lisa Liceaga, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr. Lisa Liceaga, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Dr. Lisa Liceaga, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dr. Lisa Liceaga, LLC was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Dr. Lisa Liceaga, Llc · NPI 1447944830
Medical Specialty organization in Altamonte Springs, Florida. Organization record, active in the CMS NPPES registry since June 7, 2023.
## Identity
- **NPI:** 1447944830 (Entity type: Organization)
- **Enumerated:** June 7, 2023
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Lisa Liceaga, PHYSICIAN
## Practice location
- **Address:** 831 S STATE ROAD 434, Altamonte Springs, FL 32714-3502
- **Phone:** (407) 587-8600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Medicine and Rehabilitation) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1447944830) · Data from the CMS NPPES public registry.