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MS. LISA RIEDLE PT
NPI 1619095007
Physical Therapist - Sports in Atherton, CA

Active since March 26, 2007Accepts Medicare Assignment
3351 EL CAMINO REAL, SUITE 180, ATHERTON, CA 94027(650) 365-8350(650) 365-8353 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa Riedle Pt NPPES

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

MS. LISA RIEDLE PT (NPI 1619095007) is an individual sports provider in Atherton, California, licensed in California (PT17939) and active in the NPI registry since March 2007. She is a graduate of Other (1991).

NPPES Registry Identity

NPI1619095007
Entity TypeIndividualFemale
Primary Taxonomy2251S0007X
Provider Legal NameMS. LISA RIEDLECredential: PT
Location Address3351 EL CAMINO REAL, SUITE 180Atherton, CA 94027-3811
Mailing Address3351 El Camino Real, Suite 180Atherton, CA 94027-3811 · (650) 365-8350 · Fax (650) 365-8353
Phone(650) 365-8350
Fax(650) 365-8353
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619095007 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 · PT17939
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.
3351 EL CAMINO REAL, Atherton, CA 94027
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Other Identifiers 1

OtherPT17939CA · Pt License

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

Ms. Lisa Riedle Pt 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 ID2961459201
PECOS Enrollment IDI20050407001072

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 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.
2,574 services108 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.
2,193 services113 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
1,053 services85 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
109 services90 patients

Other Providers at the Same Location NPPES 16

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

KATHLEEN MARIE LOW NP
Nurse Practitioner
3351 EL CAMINO REAL, STE 200
ATHERTON, CA 94027
San Mateo County (650) 399-4630
DR. JOSEPH KRAUSS DDS
Dentist
3351 EL CAMINO REAL, SUITE 235
ATHERTON, CA 94027
San Mateo County (650) 365-1533
DR. MICHAEL BRUGOS DDS
Dentist
3351 EL CAMINO REAL, SUITE 235
ATHERTON, CA 94027
San Mateo County (650) 365-1533
MISS CHRISTINA NICOLE WALKER N. P.
Registered Nurse
3351 EL CAMINO REAL
ATHERTON, CA 94027
San Mateo County (303) 570-9181
PACIFIC ENDOSCOPY LLC
Clinic/Center (Ambulatory Surgical)
3351 EL CAMINO REAL, STE 220
ATHERTON, CA 94027
San Mateo County (650) 365-3700
MICHELLE CLAUDETTE OLSEN D.D.S.
Dentist (Endodontics)
3351 EL CAMINO REAL, STE. 222
ATHERTON, CA 94027
San Mateo County (650) 361-0180
DR. JANE S WESTON M.D., F.A.C.S
Surgery (Plastic and Reconstructive Surgery)
3351 EL CAMINO REAL
ATHERTON, CA 94027
San Mateo County (650) 363-0300
NICOLE DACQUISTO PT
Physical Therapist (Sports)
3351 EL CAMINO REAL, SUITE 180
ATHERTON, CA 94027
San Mateo County (650) 365-8350

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 Riedle's NPI number?

The NPI number for Lisa Riedle is 1619095007. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Lisa Riedle located?

Lisa Riedle practices at 3351 El Camino Real Suite 180, Atherton, CA 94027. The listed phone number is (650) 365-8350.

What is Lisa Riedle's specialty?

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

Is Lisa Riedle enrolled in Medicare?

Yes. Lisa Riedle 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.

When was this NPI record last updated?

The NPPES record for Lisa Riedle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.