Active NPI
Lisa Mastriano
- Physical Therapist
- Branford, CT
National Provider Identifier
1417087560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003669
- Practice address
- 100 Double Beach Rd
Branford, CT 06405-4909 - Phone
- (203) 315-7638
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 003669 | CT | Primary |
Addresses
Primary practice location
100 Double Beach Rd
Branford, CT 06405-4909
Mailing address
366 Sea Hill Rd
North Branford, CT 06471-1412
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 |
|---|---|---|---|
| 003669 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417087560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 SEA HILL RD",
"city": "NORTH BRANFORD",
"state": "CT",
"postal_code": "064711412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DOUBLE BEACH RD",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064054909",
"telephone_number": "203-315-7638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTRIANO",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "003669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Branford, CT
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.