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

Jennifer A Lis, PT

Individual provider Physical Therapist · NPI 1467868968

Jennifer A Lis, PT is a Physical Therapist in Private Practice in Honolulu, Hawaii. Graduated from University of Maryland School of Medicine in 2014, 12 years ago. Practices with Makai Mobile Rehab LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Hawaii and Maryland.

Years since qualifying
12
Trained at
University of Maryland School of Medicine
Licensed in
HI, MD
In the registry since
2014
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1350 S King St Ste 307
Honolulu, HI 96814-2008
Phone: (609) 468-2725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-4508 (HI)
Physical Therapist Taxonomy 225100000X · Licence 25060 (MD)

Record details

NPI number1467868968
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 3, 2014
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 14, 2022
Mailing address435 Seaside Ave Apt 704, Honolulu, HI 96815-2611

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Makai Mobile Rehab Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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