Lizette Holliday, PTA
Individual provider Active NPI Physical Therapy Assistant · Sidney, NY
NPI 1194447896 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1194447896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 011052-01 (NY)
- Practice address
- 4 Cartwright Ave
Sidney, NY 13838-1206 - Phone
- (607) 563-2929
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011052-01 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seco Physical & Occupational Therapy PLLC | Current |
Accepting new patients | |
| Seco Occupational Therapy PC | Past |
Accepting new patients |
Locations
4 Cartwright Ave
Sidney, NY 13838
Phone (607) 563-2929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 011052-01 | NY | Yes |
Addresses
Primary practice location
4 Cartwright Ave
Sidney, NY 13838-1206
Mailing address
4 Cartwright Ave
Sidney, NY 13838-1206
Phone (607) 563-2929
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | seco2008@frontiernet.net |
Other providers in Sidney, NY
- Gatewood Ny Emergency Physician Services, PC
- Elizabeth Gdovin
- Gelder Medical PLLC
- Josh Aaron Gronwall
- David P Haswell
- Gene Wesley Homer
- Anna Marie Hopkins
- Robin Lynn Hulbert
- Rohan Senerat Jayasena
- Joshua House Inc
All providers in Sidney, NY · Physical Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.