Lisa Anne Grieco, PT DPT OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0176501 Issued in NY

Practice address

267 Smithtown Blvd
Suite D
Nesconset, NY 11767-2120

Phone

(631) 724-5433

Fax

(631) 724-5478

NPI assigned

Feb 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kare Therapeutics PT PC

  • Physical Therapist
  • Nesconset, NY
  • NPI 1922261429

  NY, Physical Therapist

  Medicare reassignment NPD Authorized official
• Island Sports Physical Therapy of Coram PC

  • Physical Therapist
  • Coram, NY
  • NPI 1083681613
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1083689145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 SMITHTOWN BLVD",
            "address_2": "SUITE D",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672120",
            "telephone_number": "631-724-5433",
            "fax_number": "631-724-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 SMITHTOWN BLVD",
            "address_2": "SUITE D",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672120",
            "telephone_number": "631-724-5433",
            "fax_number": "631-724-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIECO",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PT DPT OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0176501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7286803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1157741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shauna Gehshan
• Allyson Giaimo, MA
• Gwenda Renee' Gnadt, O.D., M.P.H.
• Maria Grammenos - Georgakopoulos, DDS
• Baljinder Kaur Grewal, M.D.
• Michele Rhea Grosskurth, LCSW-R
• Stephanie Nicole Guercio
• Joan Catherine Guevarra, M.D.
• Maria Sarah N. Guevarra, M.D.
• Lauren Gutes

• All providers in Nesconset, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.