Lisa Zimmer Trunzo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

133051 Issued in NY

Practice address

2099 Grand Island Blvd
Ste B
Grand Island, NY 14072

Phone

(716) 773-3300

Fax

(716) 773-3303

NPI assigned

Apr 4, 2006

Last updated

Aug 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Care Physical Therapy Aquatics and Fitness PCGroup PAC ID 7113990466, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Care Physical Therapy Aquatics and Fitness PC

  • Physical Therapist
  • Niagara Falls, NY
  • NPI 1891883385
  Medicare reassignment Care Compare group NPD
• Bodyworksolutions LLC

  • Physical Therapist
  • Grand Island, NY
  • NPI 1275183287
  NPD Authorized official
• Grand Island Bodyworks Physical Therapy PLLC

  • Physical Therapist
  • Grand Island, NY
  • NPI 1619523636
  NPD Authorized official
• Island Body Works LLC

  • Physical Therapist
  • Grand Island, NY
  • NPI 1548764665
  NPD Authorized official
• Niagara Physical Therapy PC

  • Physical Therapist
  • Lewiston, NY
  • NPI 1154549756
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1801858030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 GRAND ISLAND BLVD",
            "address_2": "STE B",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "14072",
            "telephone_number": "716-773-3300",
            "fax_number": "716-773-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 GRAND ISLAND BLVD",
            "address_2": "STE B",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "14072",
            "telephone_number": "716-773-3300",
            "fax_number": "716-773-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Grand Island Blvd",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NY",
            "postal_code": "14072",
            "country_code": "US",
            "telephone_number": "716-773-4323",
            "fax_number": "716-773-9418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUNZO",
        "first_name": "LISA",
        "middle_name": "ZIMMER",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "133051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samantha Marie Tycz, PT
• United Nutrition & Dietetics, PLLC
• Lisa Pirrone Vanderbrook, M.S.
• Christine Marie Vanhouten

• Physical Therapist in Grand Island, NY
• Providers in Grand Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.