Stacey Lee Lilligore-Green, P.T.A
Individual provider Active NPI Physical Therapy Assistant · Barrington, NJ
NPI 1285907709 · NPPES record last updated Feb 14, 2012
Key facts
- NPI
- 1285907709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 40QB00268700 (NJ)
- Practice address
- 267 Lott Ave.
Barrington, NJ 08007 - Phone
- (609) 313-4652
- NPI assigned
- Feb 14, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 40QB00268700 | NJ | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00268700 | NJ | Yes |
Addresses
Primary practice location
267 Lott Ave.
Barrington, NJ 08007
Mailing address
267 Lott Ave
Barrington, NJ 08007-1235
Phone (609) 313-4652
Other providers in Barrington, NJ
- Katrina Kunkle
- Chinyi Lai
- Debra Levin-Kapustin
- Jennifer Lewis
- Ruby Ligon
- Lisa and Richard Kress LLC
- Debra Lischak
- Living With Assistance LLC
- Michael Lynch
- Hanna L Marchewka
All providers in Barrington, NJ · Physical Therapy Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2012. 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.