MEDICARE: MS. LISA ANN PRIMER LPTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	5409	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	21564	OTHER	FL	FL PTA LICENSE

General Provider Information

NPI Number	:	1184706855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA ANN PRIMER LPTA

Provider Business Mailing Address
First Line	:	738 BARBARA ST
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-4604
Country	:	US
Telephone Number	:	727-226-3350
Fax Number	:

Provider Business Practice Location Address
First Line	:	738 BARBARA ST
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-4604
Country	:	US
Telephone Number	:	727-226-3350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	03/04/2021

Similar Medicare Providers

1699060509 — JANET LYN DREWRY OTR
Practice Location Address:

724 BARBARA ST
PALM HARBOR, FL
34684-4604

Practice Phone: 727-781-3087
Practice Fax:

1134183908 — NORTH PALM BEACH COUNTY SURGERY CENTER LLC
Practice Location Address:

4000 BURNS RD
PALM BEACH GARDENS, FL
33410-4604

Practice Phone: 561-626-6446
Practice Fax: 561-626-7244

1073859591 — AMERICAN LAB, LLC
Practice Location Address:

1801 INDIAN RD , UNIT 103
WEST PALM BEACH, FL
33409-4604

Practice Phone: 561-662-7400
Practice Fax:

1972924454 — ERICA HARRIS
Practice Location Address:

340 E PALM LN STE 255
PHOENIX, AZ
85004-4604

Practice Phone: 602-918-3664
Practice Fax: 480-681-1916

1437721966 — SHERIDAN HEALTHCORP INC
Practice Location Address:

4000 BURNS RD
PALM BEACH GARDENS, FL
33410-4604

Practice Phone: 877-328-1119
Practice Fax:

1629742838 — GENERAL SURGERY OF JUPITER MEDICAL SPECIALISTS, LLC
Practice Location Address:

4000 BURNS RD
PALM BEACH GARDENS, FL
33410-4604

Practice Phone: 877-328-1119
Practice Fax:

Directions to “ MS. LISA ANN PRIMER LPTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.