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

Lisa Yonker, DPT

Individual provider Physical Therapist · NPI 1164808853

Lisa Yonker, DPT is a Physical Therapist in Private Practice in Fargo, North Dakota. Qualified in 2015, 11 years ago. Practices with Revive and Thrive Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
11
Licensed in
ND
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4674 40th Ave S Ste A
Fargo, ND 58104
Phone: (701) 293-7294
Fax: (701) 282-9738
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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 2012 (ND)

Record details

NPI number1164808853
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESJune 29, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Revive And Thrive Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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