Active NPI
David M. Lishinsky Jr., PT, ATC, CSCS
- Physical Therapist
- Altoona, PA
National Provider Identifier
1548209786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007502L
- Practice address
- 301 Valley View Blvd
Altoona, PA 16602-6409 - Phone
- (814) 944-0845
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007502L | PA | Primary |
| Athletic Trainer | 2255A2300X | RT003229 | PA |
Addresses
Primary practice location
301 Valley View Blvd
Altoona, PA 16602-6409
Mailing address
215 Hunters Pass Dr
Duncansville, PA 16635-8357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT003229 | PA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mennonite Home | Current | Accepting new patients | |
| Sundance Rehabilitation Agency, LLC | Past | Accepting new patients |
Locations
1520 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 393-1301
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Athens, GA
- NPI 1508281411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1548209786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 HUNTERS PASS DR",
"city": "DUNCANSVILLE",
"state": "PA",
"postal_code": "166358357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 VALLEY VIEW BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166026409",
"telephone_number": "814-944-0845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISHINSKY",
"first_name": "DAVID",
"middle_name": "M.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007502L",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT003229",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.