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

Lisa Yonker, DPT

Individual provider Physical Therapist · NPI 1164808853

Lisa Yonker, DPT is a Physical Therapist in Private Practice in Fargo, North Dakota. Qualified in 2015, 11 years ago. Practices with Revive and Thrive Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
11
Licensed in
ND
In the registry since
2015
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

4674 40th Ave S Ste A
Fargo, ND 58104
Phone: (701) 293-7294
Fax: (701) 282-9738
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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 2012 (ND)

Record details

NPI number1164808853
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESJune 29, 2018
Mailing address4674 40th Ave S Ste A, Fargo, ND 58104-4501

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Revive And Thrive Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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