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

Lisa Vanderbloomer

Individual provider Physical Therapist · NPI 1619990249

Lisa Vanderbloomer is a Physical Therapist in Charlotte, North Carolina. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

10009 Park Cedar Dr Ste 100
Charlotte, NC 28210-8935
Phone: (704) 716-1024
Fax: (704) 716-1025
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1619990249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESAugust 21, 2013

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