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

Lisa A Vivian, PT

Individual provider Physical Therapist · NPI 1285940098

Lisa A Vivian, PT is a Physical Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 1984, 42 years ago. Practices with Orthopedic and Spine Therapy of Green Bay SC, a 5-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
42
Licensed in
WI
In the registry since
2010
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

211 N Broadway Ste 105
Green Bay, WI 54303-2757
Phone: (920) 432-9040
Fax: (920) 432-9053
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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 3704-024 (WI)

Record details

NPI number1285940098
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 31, 2010
Last updated in NPPESAugust 31, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Orthopedic And Spine Therapy Of Green Bay Sc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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