Lizbeth Jansen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031304-1 Issued in NY

Practice address

28000 Main Rd
Cutchogue, NY 11935-1376

Phone

(631) 734-2470

Fax

(631) 734-2635

NPI assigned

Dec 5, 2017

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 names 1

• Beth Jansen Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Fork Physical Therapy PCGroup PAC ID 9335030774, 4 clinicians

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.

• North Fork Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Riverhead, NY
  • NPI 1972655041

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1134634843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "119350806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28000 MAIN RD",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "119351376",
            "telephone_number": "631-734-2470",
            "fax_number": "631-734-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "LIZBETH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031304-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "JANSEN",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erin Gardner
• Karen Patrice Gillette, LCSW
• Betsy Dale Goodman-Bitman, CCC, SLP
• Diane Elaine Harned, LPN
• Angelica Horlocher, RPH
• Lawrence P Kelly, MD
• King Kullen Pharmacies Corp (King Kullen Pharmacy #3)
• Lynn W Leaden, MA, CCC-LSP
• Taylor Michelle Leden
• Hannah Lewis, L.AC., MSTOM

• Physical Therapist in Cutchogue, NY
• Providers in Cutchogue, 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 Dec 5, 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.