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

Mr. Mark Jeffery Lisembee, PTA

Individual provider Physical Therapy Assistant · NPI 1225326895

Mr. Mark Jeffery Lisembee, PTA is a Physical Therapy Assistant in Bowling Green, Kentucky. Licensed in Kentucky. Registered with an NPI since 2011.

Licensed in
KY
In the registry since
2011
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

1561 Newton Ave
Bowling Green, KY 42104-3238
Phone: (270) 842-1611
Fax: (270) 842-3858
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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 · Licence A02788 (KY)

Record details

NPI number1225326895
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 18, 2011
Last updated in NPPESMay 22, 2012
Mailing address1561 Newton Ave, Bowling Green, KY 42104-3238

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