MEDICARE: GARRETT LISBY DPT

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	225100000X	Physical Therapist	05015816A	IN

General Provider Information

NPI Number	:	1629781588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARRETT LISBY DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9105 E 56TH ST STE I
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46216-2231
Country	:	US
Telephone Number	:	463-207-9995
Fax Number	:	463-237-5351

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

Provider Enumeration Date	:	01/05/2023
Last Update Date	:	11/19/2024

Similar Medicare Providers

1720797822 — DR. DESMOND A ATEM DNP
Practice Location Address:

9105 E 56TH ST STE J
INDIANAPOLIS, IN
46216-2231

Practice Phone: 260-508-6088
Practice Fax: 260-344-8964

1114473162 — CODY JAMES SMALL DPT
Practice Location Address:

9105 E 56TH ST STE I
INDIANAPOLIS, IN
46216-2231

Practice Phone: 463-207-9995
Practice Fax:

1588247670 — BENCHMARK PHYSICAL THERAPY INDIANA LLC
Practice Location Address:

9105 E 56TH ST STE I
INDIANAPOLIS, IN
46216-2231

Practice Phone: 463-207-9995
Practice Fax: 463-237-5351

1598568560 — DEWANN SQUIRES
Practice Location Address:

9105 E 56TH ST STE A
INDIANAPOLIS, IN
46216-2231

Practice Phone: 463-710-1439
Practice Fax:

1376420877 — APRIL BARHAMS-BROWN LPN
Practice Location Address:

9105 E 56TH ST STE J
INDIANAPOLIS, IN
46216-2231

Practice Phone: 574-213-5117
Practice Fax:

1386948354 — FREEDOM SENIOR SERVICES OF INDIANA, INC.
Practice Location Address:

1398 N SHADELAND AVE STE 2231
INDIANAPOLIS, IN
46219-3619

Practice Phone: 317-359-3733
Practice Fax: 317-357-2273

Directions to “ GARRETT LISBY DPT” 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 © 2007-2026 (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.