LISA MARIE HARDIMON MPT
NPI 1528310547
Physical Therapist - Sports in Redondo Beach, CA

Q: What is Lisa Hardimon's NPI number?

The NPI number for Lisa Hardimon is 1528310547. It was assigned to this individual provider in the NPPES registry on October 15, 2012. The provider is also known as Lisa Marie Vincent Mpt.

Q: What is Lisa Hardimon's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Hardimon was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 15, 2012Accepts Medicare Assignment

2621 MANHATTAN BEACH BLVD, REDONDO BEACH, CA 90278(310) 374-0477(310) 374-1605 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2024, Feb 12, 2019 (2 updates tracked since 2019).

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About Lisa Marie Hardimon Mpt NPPES

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

LISA MARIE HARDIMON MPT (NPI 1528310547) is an individual sports provider in Redondo Beach, California, licensed in California (PT19902) and active in the NPI registry since October 2012. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1528310547

Entity TypeIndividualFemale

Primary Taxonomy2251S0007X

Provider Legal NameLISA MARIE HARDIMONCredential: MPT

Location Address2621 MANHATTAN BEACH BLVDRedondo Beach, CA 90278-1604

Mailing Address2621 Manhattan Beach BlvdRedondo Beach, CA 90278-1604 · (310) 374-0477 · Fax (310) 374-1605

Phone(310) 374-0477

Fax(310) 374-1605

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 15, 2012

Last NPPES UpdateJune 6, 20242 updates tracked since enumeration

NPPES CertifiedJune 6, 2024

✔ NPI 1528310547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in CA · PT19902

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

2621 MANHATTAN BEACH BLVD, Redondo Beach, CA 90278

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Other Names 1

Former Name (1)Lisa Marie Vincent Mpt

Other Identifiers 1

OtherPT19902CA · Pt License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Marie Hardimon Mpt 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 ID3577786078

PECOS Enrollment IDI20140602002565

Medicare Billing Reassignment

Medicare enrollment records show Lisa Hardimon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physioworks

Same address

Physical Therapist

2621 MANHATTAN BEACH BLVD
Redondo Beach, CA 90278

Reassigned Medicare billing, California enrollment
6 clinicians in this Medicare group

NPI 1447286067 (310) 374-0477

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

520 services22 patients

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.

503 services22 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

53 services20 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.

30 services20 patients

Other Providers at the Same Location NPPES 5

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

EMILY MAY VAREE DPT

Physical Therapist