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

Lisa Vandeven, PTA

Individual provider Physical Therapy Assistant · NPI 1902122294

Lisa Vandeven, PTA is a Physical Therapy Assistant in Green Bay, Wisconsin. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

760 Pilgrim Way
Green Bay, WI 54304-5263
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1902122294
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 13, 2010
Last updated in NPPESApril 13, 2010

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