Skip to content

Lacy Kissell

NPI 1306798731ActiveIndividual· Physical Therapy Assistant· Elkhart, IN

Physical Therapy Assistant in Elkhart, Indiana, licensed in IN, with an NPI issued in February 2026.

Overview

NPI1306798731
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedFeb 10, 2026
Last updated in NPPESFeb 10, 2026
Certified by providerFeb 10, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000X06005918AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapy Assistant providers in Elkhart

All Physical Therapy Assistant providers in Indiana →