LISA ALT ELDER (PT) – Physical Therapist, NPI 1508025685

LISA ALT ELDER (PT) is a healthcare provider. based in Derby, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. MSPTL.0000018 (CO). The NPI Number for LISA ALT ELDER (PT) is 1508025685

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
LISA ALT ELDER (PT)
NPI
1508025685
Phone
(316) 202-0996
Address
608 N MULBERRY RD
Enumeration Date
4 June 2008
Last Update Date
13 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7194666800
Graduation Year
2006 (20 years ago)
PAC ID
1951473602
Group Practice PAC ID
8921307901
Professional Enrollment ID
I20220519000018
Address ID
CO809185069CO4850XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:18State licenses:3Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for LISA ALT ELDER (PT)

  • 608 N MULBERRY RD

    DERBY, KS 670373532

    Phone: (316) 202-0996

    Fax: (316) 202-0997

    Type: Location

  • 4116 HAMILTON CIR

    VALDOSTA, GA 316054861

    Phone: (229) 560-5542

    Type: Mailing

  • 6262, Veterans Parkway, Ogletree Woods, Columbus, Muscogee County, Georgia, 31909, United States

    COLUMBUS, GA 319093540

    Phone: (229) 333-9736

    Type: Location

  • 6262 Veterans Pkwy

    Columbus, GA 319093540

    Phone: (229) 333-9736

    Type: Location

  • 7362 McLaughlin Rd

    Peyton, CO 808314713

    Phone: (719) 358-3866

    Type: Location

  • 200 W DOUGLAS AVE STE 1040

    WICHITA, KS 672023017

    Phone: (316) 263-0003

    Fax: (316) 263-1241

    Type: Mailing

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: 2022-05-19

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
I20220519000018IPhysical Therapist In Private PracticeCOTBD

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
97140Therapy procedure using manual technique, each 15 minutes39224$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30720$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes27315$0
97162Evaluation for physical therapy, typically 30 minutes2117$0
View full utilization report →

Insurance plans in this area (ZIP 67037)

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Provider's Procedures

LISA ALT ELDER (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 THERAPYGA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes149697

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: 8921307901View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAP
-CO
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeMO
-WI
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

Can I use this page to confirm LISA ALT ELDER (PT)'s NPI?
Yes. LISA ALT ELDER (PT) is listed with NPI 1508025685 in the public NPI dataset.
Is LISA ALT ELDER (PT) still practicing?
LISA ALT ELDER (PT) is currently listed as active in the public NPI registry.
What is LISA ALT ELDER (PT)'s specialty?
The listing groups LISA ALT ELDER (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect LISA ALT ELDER (PT) on a map?
Expect Derby, Kansas as a primary anchor for LISA ALT ELDER (PT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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