Lisa Primich, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017917 Issued in NY

Practice address

665 President St
Brooklyn, NY 11215-1207

Phone

(718) 398-5700

Fax

(718) 569-0404

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

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.

• Lisa Primich Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1194875674
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285784751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 GARFIELD PL",
            "address_2": "#1L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152249",
            "telephone_number": "718-398-5700",
            "fax_number": "718-569-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151207",
            "telephone_number": "718-398-5700",
            "fax_number": "718-569-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMICH",
        "first_name": "LISA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Surgical Supply Inc
• Leona M Prime, SPED
• Charles Anthony Primeau, LCSW
• Primemed Pharmacy LLC
• Primetime Medical Supply Inc.
• Huldah Primo
• Samantha Nichola Primo
• Prince Luxury Corp
• Prince Rehab Care PT PC
• Heather Nicole Prince-Skulavik, MA, CCC-SLP

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Jul 8, 2007; 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.