Arthur Lizaso, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011812-1 Issued in NY

Practice address

4870 Hylan Blvd
Staten Island, NY 10312-6322

Phone

(718) 356-1337

Fax

(718) 356-1337

NPI assigned

Jul 13, 2007

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• South Shore S I Physical Therapy PC

  • Physical Therapist
  • Staten Island, NY
  • NPI 1033318621
  Medicare reassignment NPD Authorized official
• South Shore Si Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Staten Island, NY
  • NPI 1811152671
  NPD (past) Authorized official

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1821297417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126322",
            "telephone_number": "718-227-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126322",
            "telephone_number": "718-356-1337",
            "fax_number": "718-356-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZASO",
        "first_name": "ARTHUR",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011812-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Hugh Liwanag, REGISTERED NURSE
• Kellie Anne Liwanag, RN
• Delakshi T Liyanagamage
• Andrea Lizarazo
• Jennifer Lizarazo, LPN
• Arta Ljubanovic, AU.D.
• Gjylasfije Ljulja
• Sabhire Ljulja
• Tauta Ljuljic
• LK Healtcare Inc

• Physical Therapist in Staten Island, NY
• Providers in Staten 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 Apr 2, 2009; 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.