Provider Demographics
NPI:1336263110
Name:HYPES, LISA BERNARD (PT)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:BERNARD
Last Name:HYPES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 CHARTER HILLS RD
Mailing Address - Street 2:
Mailing Address - City:BEECH MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28604-8048
Mailing Address - Country:US
Mailing Address - Phone:828-387-2025
Mailing Address - Fax:
Practice Address - Street 1:2359 HIGHWAY 105
Practice Address - Street 2:CDSA OF THE BLUE RIDGE
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-7814
Practice Address - Country:US
Practice Address - Phone:828-265-5391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3611225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07977OtherBLU CROSS BLUE SHIELD