Lisa S Bender, PHYSICAL THERAPIST

Individual provider Active NPI Physical Therapist · Levittown, NY

NPI 1154699114 · NPPES record last updated Dec 6, 2011

Key facts

NPI
1154699114
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
006924-1 (NY)
Practice address
72 Farmedge Rd
Levittown, NY 11756-5202
Phone
(516) 827-1030
NPI assigned
Dec 6, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006924-1 NY Yes

Addresses

Primary practice location

72 Farmedge Rd
Levittown, NY 11756-5202

Mailing address

5 North St.
Syosset, NY 11791-2712
Phone (516) 364-5378

Other providers in Levittown, NY

All providers in Levittown, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.