Lisa Marie Dejanovich, PTA
NPI 1720483134ActiveIndividual· Physical Therapy Assistant· Chicago, IL
Physical Therapy Assistant (PTA) in Chicago, Illinois, licensed in IL and IN, with an NPI issued in October 2014.
Overview
| NPI | 1720483134 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | Yes |
| NPI issued | Oct 28, 2014 |
| Last updated in NPPES | Oct 28, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 160.003705 | IL |
| Physical Therapy Assistant | 225200000X | 06004851A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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