Individual provider Active NPI

Lisa A Campisi, DPT

  • Physical Therapist
  • Woodbury, NY
National Provider Identifier
1699059121
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034279-1 Issued in NY
Practice address
415 Crossways Park Dr Ste E
Woodbury, NY 11797-2055
Phone
(516) 838-8400
NPI assigned
Oct 3, 2011
Last updated
Jun 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034279-1 NY Primary

Addresses

Primary practice location

415 Crossways Park Dr Ste E
Woodbury, NY 11797-2055

Mailing address

415 Crossways Park Dr Ste E
Woodbury, NY 11797-2055
Phone (516) 551-3826

Other practice location 1

833 Northern Blvd
Great Neck, NY 11021-5315
Phone (516) 288-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111025000784 NY Practitioner - Physical Therapist in Private Practice 5294908935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9525 Queens Blvd
Suite 3D
Rego Park, NY 11374-4510
Phone (718) 925-6212

Merit-based Incentive Payment System (MIPS)

Final score
97.59 of 100Reported as individual
Quality
97.16
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034279-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Sep 14, 2015 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Sep 14, 2015 Accepting new patients
Access Home Mobility & Safety Consultants, LLC PastSince Jun 18, 2023 Accepting new patients

Locations

833 Northern Blvd
Great Neck, NY 11021
Phone (516) 288-3400

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

415 Crossways Park Dr
Ste E
Woodbury, NY 11797
Phone (516) 838-8400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1699059121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CROSSWAYS PARK DR STE E",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972055",
            "telephone_number": "516-551-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CROSSWAYS PARK DR STE E",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972055",
            "telephone_number": "516-838-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215315",
            "country_code": "US",
            "telephone_number": "516-288-3400",
            "fax_number": "516-288-3410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPISI",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034279-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.