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

Lisa Nichole Creadle

Individual provider Physical Therapy Assistant · NPI 1629930805

Lisa Nichole Creadle is a Physical Therapy Assistant in Virginia Beach, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

3053 Blitz Ct
Virginia Beach, VA 23453-3210
Phone: (757) 567-5360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306604310 (VA)

Record details

NPI number1629930805
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 26, 2025
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address3053 Blitz Ct, Virginia Beach, VA 23453-3210

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