Lisa Hope Sullivan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027898-1 Issued in NY

Practice address

15 Neil CT
Inside JCC
Oceanside, NY 11572-5815

Phone

(516) 766-0505

Fax

(516) 766-0680

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lisa Hope Gorenstein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New York Physical and Occupational Therapy PLLC

  • Physical Therapy Clinic/Center
  • Rochdale, NY
  • NPI 1831119247

  Physical Therapist

  NPD (past)
• Plainview Physical Therapy, PC

  • Physical Therapist
  • Plainview, NY
  • NPI 1780626309
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1023059813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NEIL CT",
            "address_2": "INSIDE JCC",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725815",
            "telephone_number": "516-766-0505",
            "fax_number": "516-766-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NEIL CT",
            "address_2": "INSIDE JCC",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725815",
            "telephone_number": "516-766-0505",
            "fax_number": "516-766-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LISA",
        "middle_name": "HOPE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027898-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GORENSTEIN",
            "middle_name": "HOPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Lee Strauss, D.D.S.
• Eric Brian Strier, RN
• Sophia Strouble, REGISTERED NURSE
• Richard T Sturm, M.D.
• Dana Sudran, PT, DPT
• Rebecca Susan Sumien, LMHC
• Kaitlyn Elizabeth Summers, MSED, BCBA, LBA
• Jiayin Sun
• Kuncharan Sunthararajah, DPM
• Tiffany Superstein

• Physical Therapist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.