MS. LISA MEDGANSIS (PT) – Physical Therapist, NPI 1720021264

MS. LISA MEDGANSIS (PT) is a healthcare provider. based in Indian harbour beach, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT6390 (FL). The NPI Number for MS. LISA MEDGANSIS (PT) is 1720021264

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA MEDGANSIS (PT)
NPI
1720021264
Phone
(321) 773-8155
Address
2030 S PATRICK DR
Enumeration Date
13 June 2006
Last Update Date
26 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3216107978
Graduation Year
1983 (43 years ago)
PAC ID
4688687049
Group Practice PAC ID
2567367030
Professional Enrollment ID
I20060801000407
Address ID
FL329356858ME494XXBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for MS. LISA MEDGANSIS (PT)

  • South Patrick Drive, Indian Harbour Place, Indian Harbour Beach, Brevard County, Florida, 32937, United States

    INDIAN HARBOUR BEACH, FL 329374400

    Phone: (321) 773-8155

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060801000407IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes56437$0
97140Therapy procedure using manual technique, each 15 minutes25332$0
97161Evaluation for physical therapy, typically 20 minutes2725$0
97535Training for self-care or home management, each 15 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 32937)

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Provider's Procedures

MS. LISA MEDGANSIS (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYFL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes121996
PHYSICAL THERAPYFL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes53082

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567367030View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
-FL
-FL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL
-UT

Reviews

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Frequently asked questions

Is MS. LISA MEDGANSIS (PT) listed with a National Provider Identifier?
Yes — MS. LISA MEDGANSIS (PT) has NPI 1720021264 on file in the registry.
Would MS. LISA MEDGANSIS (PT) appear as active to a payer?
You can treat MS. LISA MEDGANSIS (PT) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MS. LISA MEDGANSIS (PT)'s focus?
For MS. LISA MEDGANSIS (PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MS. LISA MEDGANSIS (PT) located near Indian Harbour Beach?
MS. LISA MEDGANSIS (PT) currently maps to Indian Harbour Beach, Florida in this extract.
When was this NPI issued?
Enumeration for MS. LISA MEDGANSIS (PT) is noted as June 13, 2006 where the registry provides it.

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