LISA ANN MARAIS (DPT) – Physical Therapist, NPI 1487919486

LISA ANN MARAIS (DPT) is a healthcare provider. based in Hudson, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 12049 (WI). The NPI Number for LISA ANN MARAIS (DPT) is 1487919486

Main info

Female
14 Years Of Experience
Name
LISA ANN MARAIS (DPT)
NPI
1487919486
Phone
(715) 386-2128
Address
742 STERBENZ DR
Enumeration Date
6 July 2012
Last Update Date
6 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2012 (14 years ago)
PAC ID
5092965244
Group Practice PAC ID
6103230172
Professional Enrollment ID
I20260213001667
Address ID
MN551012666SA428XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,000 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for LISA ANN MARAIS (DPT)

  • 742 STERBENZ DR

    ST CROIX THERAPY INC

    HUDSON, WI 540168327

    Phone: (715) 386-2128

    Fax: (715) 386-6119

    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: 2026-02-13

PECOS data refreshed: 2026-06-15

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
I20260213001667IPhysical Therapist In Private PracticeMNTBD

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 54016)

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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: 6103230172View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What is the registry number for LISA ANN MARAIS (DPT)?
The registry entry for LISA ANN MARAIS (DPT) shows NPI 1487919486.
Does the public listing show LISA ANN MARAIS (DPT) as active?
LISA ANN MARAIS (DPT)'s NPI record reflects an active status in NPPES.
How should patients interpret LISA ANN MARAIS (DPT)'s specialty?
The extract shows Physical Therapist for LISA ANN MARAIS (DPT). Clinical services aligned with this taxonomy classification.
Which community is linked to LISA ANN MARAIS (DPT)?
LISA ANN MARAIS (DPT) shows a connection to Hudson, Wisconsin in registry-derived data.
Can I export LISA ANN MARAIS (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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