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

Mrs. Lisa Ellen Koss, PT

Individual provider Physical Therapist · NPI 1093803074

Mrs. Lisa Ellen Koss, PT is a Physical Therapist in Private Practice in Peoria, Arizona. Qualified in 2000, 26 years ago. Practices with Capptcg, LLC, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
26
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

8240 W Cactus Rd
Peoria, AZ 85381
Phone: (623) 878-9696
Fax: (623) 776-0668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1076 W Chandler Blvd, Chandler, AZ 85224 — (480) 821-1997

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5402 (AZ)

Record details

NPI number1093803074
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESNovember 9, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Capptcg, Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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