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

Lisa M Boyan, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1679683338

Lisa M Boyan, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Live Oak, California. Qualified in 2005, 21 years ago. Practices with Western Physical Therapy Inc, a 36-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
21
Licensed in
CA, NV
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

10255 Live Oak Blvd
Live Oak, CA 95953-2015
Phone: (702) 218-4880
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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 PT36043 (CA)
Physical Therapist Taxonomy 225100000X · Licence 1985 (NV)

Record details

NPI number1679683338
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESFebruary 20, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Western Physical Therapy Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Live Oak