MS. LISA DARLENE PONICHTER (MPT) – Physical Therapist, NPI 1558650424

MS. LISA DARLENE PONICHTER (MPT) is a healthcare provider. based in Ferndale, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 5501010870 (MI). The NPI Number for MS. LISA DARLENE PONICHTER (MPT) is 1558650424

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA DARLENE PONICHTER (MPT)
NPI
1558650424
Phone
(248) 321-0358
Address
455 W OAKRIDGE ST
Enumeration Date
31 March 2011
Last Update Date
31 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483210358
Graduation Year
2001 (25 years ago)
PAC ID
2860631272
Professional Enrollment ID
I20130620000679
Address ID
MI480734200RO1710XRDXX503
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MS. LISA DARLENE PONICHTER (MPT)

  • 455 W OAKRIDGE ST

    FERNDALE, MI 482202702

    Phone: (248) 321-0358

    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: 2013-06-20

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
I20130620000679IPhysical Therapist In Private PracticeMITBD

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 48220)

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Provider's Procedures

MS. LISA DARLENE PONICHTER (MPT) 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 THERAPYMI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12811
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes7411

Reviews

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Frequently asked questions

What is the registry number for MS. LISA DARLENE PONICHTER (MPT)?
The registry entry for MS. LISA DARLENE PONICHTER (MPT) shows NPI 1558650424.
Does the public listing show MS. LISA DARLENE PONICHTER (MPT) as active?
MS. LISA DARLENE PONICHTER (MPT)'s NPI record reflects an active status in NPPES.
What does the directory say MS. LISA DARLENE PONICHTER (MPT) does?
Insurance directories may phrase it differently, but here MS. LISA DARLENE PONICHTER (MPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MS. LISA DARLENE PONICHTER (MPT) tied to Ferndale, Michigan?
If you are local to Ferndale, Michigan, MS. LISA DARLENE PONICHTER (MPT) may be relevant to your search.
Who maintains MS. LISA DARLENE PONICHTER (MPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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