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

Lisa Nicole Harb, DPT

Individual provider Physical Therapist · NPI 1215576020

Lisa Nicole Harb, DPT is a Physical Therapist in Private Practice in Petaluma, California. Qualified in 2019, 7 years ago. Practices with Sand Coast Rehab Physical Therapy Inc, a 132-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, New York and Virginia.

Years since qualifying
7
Licensed in
CA, NY, VA
In the registry since
2019
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

450 Hayes Ln
Petaluma, CA 94952-4010
Phone: (707) 778-8686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5 Limestone Dr, Williamsville, NY 14221-7178 — (716) 282-2888
  • 23352 Courthouse Hwy, Windsor, VA 23487-5333 — (757) 242-4770

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 304203 (CA)
Physical Therapist Taxonomy 225100000X · Licence 045038 (NY)
Physical Therapist Taxonomy 225100000X · Licence 2305215515 (VA)

Record details

NPI number1215576020
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 26, 2019
Last updated in NPPESJuly 9, 2023
Certification dateJuly 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sand Coast Rehab Physical Therapy Inc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Petaluma