Dan Andrew Lizardo

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Practice address

1100 Laurel Oak Rd
Voorhees, NJ 08043-4363

Phone

(856) 679-2200

NPI assigned

May 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: dlizardo@lionsgateccrc.org

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1659019644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 ALEKSANDER LN",
            "city": "MOUNT ROYAL",
            "state": "NJ",
            "postal_code": "080611067",
            "telephone_number": "856-332-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434363",
            "telephone_number": "856-679-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDO",
        "first_name": "DAN",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "-",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dlizardo@lionsgateccrc.org",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 Laurel Oak Rd",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madison Leigh Liss
• Katherine Rose Littleton
• Amy Q Liu, PTA
• Daniel Liu, M.D.
• Live Love Homecare LLC
• Brittany Loatman
• Larry L Lodge, D.P.M.
• Nittal Kalusing Lodha, RPH
• Devang V Lodhavia, M.D.
• Kristen Marie Logan, CPRS

• Physical Therapy Clinic/Center in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.