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

Mrs. Lisa Marie Radosa, MPT, FAFS

Individual provider Physical Therapist · NPI 1851486211

Mrs. Lisa Marie Radosa, MPT, FAFS is a Physical Therapist in Private Practice in Muskegon, Michigan. Qualified in 2000, 26 years ago. Practices with Shoreline Sport and Spine PLLC, a 45-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
26
Licensed in
MI
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

2073 Holton Rd
Muskegon, MI 49445-1535
Phone: (231) 744-0077
Fax: (231) 744-0030
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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 5501010605 (MI)

Record details

NPI number1851486211
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT , FAFS
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

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 Shoreline Sport And Spine Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Muskegon