Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Lisa PT LLC

Organization Physical Therapy Clinic/Center · NPI 1073243762

Dr Lisa PT LLC is a Physical Therapy Clinic/Center in Interlochen, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1794 Round Lake Rd
Interlochen, MI 49643-8435
Phone: (305) 467-9421
Fax: (305) 686-2397
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1073243762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Fernandez — Ambr · (305) 467-9421
NPI enumeratedJune 15, 2022
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address1794 Round Lake Rd, Interlochen, MI 49643-8435