IndividualActive
Lisa Inniss, PTA
NPI 1679884126 · Physical Therapy Assistant · Port St Lucie, FL
Provider details
- NPI number
- 1679884126
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA19331 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1699 Se Lyngate Dr
Port St Lucie, FL 34952-5016
Phone: (772) 335-9990
Street-level locationGet directions
Mailing address
2586 Sw Monterrey Ln
Port St Lucie, FL 34953-2956
Registry dates
- Enumerated
- 2010-06-30
- Last updated
- 2010-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.