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

Lisa J Vis, MSPT

Individual provider Physical Therapist · NPI 1083715619

Lisa J Vis, MSPT is a Physical Therapist in Private Practice in Grandville, Michigan. Qualified in 2002, 24 years ago. Practices with Hulst Jepsen Physical Therapy Inc, a 133-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

5570 Wilson Ave SW Ste A
Grandville, MI 49418-8867
Phone: (616) 594-2000
Fax: (616) 594-2004
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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 5501011269 (MI)
Physical Therapist Taxonomy 225100000X · Licence L742129 (MI)

Record details

NPI number1083715619
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESNovember 16, 2012
Mailing address2120 43rd St Se, Suite 100, Grand Rapids, MI 49508-3772

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Hulst Jepsen Physical Therapy Inc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Grandville