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

Lisa Liceaga, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1215421979

Lisa Liceaga, DO is a Physical Medicine and Rehabilitation in Cleveland, Ohio. Qualified in 2018, 8 years ago. Practices with Smh Physician Services Inc, a 774-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
8
Licensed in
FL, OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone: (216) 844-8447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1700 S Tamiami Trl, Sarasota, FL 34239-3509 — (941) 917-5200
  • 27100 Chardon Rd, Richmond Heights, OH 44143-1116 — (440) 585-6500

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence OS19884 (FL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 34.015963 (OH)

Record details

NPI number1215421979
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 17, 2018
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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