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

LISA FAVREAU ATC
NPI 1497790836
Specialist/Technologist - Athletic Trainer in So Portland, ME

Q: What is Lisa Favreau's NPI number?

The NPI number for Lisa Favreau is 1497790836. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Q: What is Lisa Favreau's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Favreau was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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.

Active since June 19, 2006

100 FODEN RD, SUITE 103W, SO PORTLAND, ME 04106(207) 772-2625(207) 879-4246 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lisa Favreau Atc NPPES

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

LISA FAVREAU ATC (NPI 1497790836) is an individual athletic trainer provider in So Portland, Maine, licensed in Maine (AT263) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1497790836

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameLISA FAVREAUCredential: ATC

Location Address100 FODEN RD, SUITE 103WSo Portland, ME 04106-2319

Mailing Address100 Foden Rd, Suite 103wSo Portland, ME 04106-2319 · (207) 772-2625 · Fax (207) 879-4246

Phone(207) 772-2625

Fax(207) 879-4246

Sole ProprietorNo

Enumeration DateJune 19, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1497790836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in ME · AT263

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

100 FODEN RD, So Portland, ME 04106

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MS. SARAH FUHRMAN FNP

Nurse Practitioner (Family)

100 FODEN RD, SUITE 203
SOUTH PORTLAND, ME 04106

Cumberland County (207) 874-1489

KATE A BUZZELL PT

Physical Therapist

100 FODEN RD, SUITE 103W
SOUTH PORTLAND, ME 04106

Cumberland County (207) 772-2625

RYAN A LUCAS A.T.C.

Specialist/Technologist (Athletic Trainer)

100 FODEN RD, SUITE 103 WEST
SOUTH PORTLAND, ME 04106

Cumberland County (207) 772-2625

DALANI ROY ATC

Specialist/Technologist (Athletic Trainer)

100 FODEN RD
SOUTH PORTLAND, ME 04106

Cumberland County (207) 774-5816

DR. MAURA FOX DO

Family Medicine

100 FODEN RD
SOUTH PORTLAND, ME 04106

Cumberland County (207) 774-5816

LENORA L DOLEWA PT

Physical Therapist

100 FODEN RD, SUITE 103W
SOUTH PORTLAND, ME 04106

Cumberland County (207) 772-2625

CINDY ASBJORNSEN DO LLC

Family Medicine

100 FODEN RD, SUITE 307 W
SOUTH PORTLAND, ME 04106

Cumberland County (207) 221-3919

LIANA HOBGOOD

Specialist/Technologist (Athletic Trainer)

100 FODEN RD, SUITE 205
SOUTH PORTLAND, ME 04106

Cumberland County (207) 780-8860

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 Favreau's NPI number?

The NPI number for Lisa Favreau is 1497790836. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Lisa Favreau located?

Lisa Favreau practices at 100 Foden Rd Suite 103W, So Portland, ME 04106. The listed phone number is (207) 772-2625.

What is Lisa Favreau's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Lisa Favreau was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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.