LISA NIELSEN WHITE (DPT) – Physical Therapist, NPI 1154408110

LISA NIELSEN WHITE (DPT) is a healthcare provider. based in Treynor, Iowa. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 1671 (NE). The NPI Number for LISA NIELSEN WHITE (DPT) is 1154408110

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
LISA NIELSEN WHITE (DPT)
NPI
1154408110
Phone
(402) 965-1670
Address
14439 275TH ST
Enumeration Date
1 November 2006
Last Update Date
15 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4025783146
Graduation Year
1997 (29 years ago)
PAC ID
4688696693
Group Practice PAC ID
5991988693
Professional Enrollment ID
I20141111001098
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for LISA NIELSEN WHITE (DPT)

  • 14439 275TH ST

    TREYNOR, IA 515757266

    Phone: (402) 965-1670

    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: 2005-12-19

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
I20051219000697IPhysical Therapist In Private PracticeIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 51575)

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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: 5991988693View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
Qualified Speech Language PathologistNE
Occupational Therapist In Private PracticeNE

Reviews

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Frequently asked questions

What is LISA NIELSEN WHITE (DPT)'s NPI number?
LISA NIELSEN WHITE (DPT)'s NPI is 1154408110 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to LISA NIELSEN WHITE (DPT)?
You should see LISA NIELSEN WHITE (DPT) as active in CMS-hosted NPPES data.
What kind of doctor is LISA NIELSEN WHITE (DPT)?
LISA NIELSEN WHITE (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is LISA NIELSEN WHITE (DPT) associated with Treynor?
Public fields place LISA NIELSEN WHITE (DPT) around Treynor, Iowa. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for LISA NIELSEN WHITE (DPT) is noted as November 1, 2006 where the registry provides it.

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