Active NPI
Agata Lisok
- Physical Therapist
- Bronx, NY
National Provider Identifier
1205046083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 020887-01
- Practice address
- 600 E 233Rd St
Bronx, NY 10466-2604 - Phone
- (718) 920-9171
- Fax
- (718) 920-9212
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 020887-01 | NY | Primary |
Addresses
Primary practice location
600 E 233Rd St
Bronx, NY 10466-2604
Mailing address
3235 Cambridge Ave
3L
Bronx, NY 10463-3622
Phone (347) 427-1023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020887-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Mercy Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1881805430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205046083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 CAMBRIDGE AVE",
"address_2": "3L",
"city": "BRONX",
"state": "NY",
"postal_code": "104633622",
"telephone_number": "347-427-1023",
"fax_number": "347-427-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E 233RD ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104662604",
"telephone_number": "718-920-9171",
"fax_number": "718-920-9212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISOK",
"first_name": "AGATA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "020887-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.