Lisa Marie Peron, PT PHYSICAL THERAPIS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026543 Issued in NY

Practice address

61 Biltmore Drive
Mastic Beach, NY 11951-1311

Phone

(631) 399-3095

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• LMP Physical Therapy PC

  • Physical Therapist
  • Mastic Beach, NY
  • NPI 1487376208
  NPD Authorized official
• Family Residences and Essential Enterprises, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Old Bethpage, NY
  • NPI 1497943757
  NPD (past)
• Skills Unlimited, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakdale, NY
  • NPI 1487789392
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831284702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BILTMORE DRIVE",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511311",
            "telephone_number": "631-399-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BILTMORE DRIVE",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511311",
            "telephone_number": "631-399-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT PHYSICAL THERAPIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlandria Palmer
• Jodiann Pantry, ED.D
• Glenis I Paz Perez, LPN
• Shelley Peasley, COTA
• Guillermo W Perez
• Diana Perreco
• Lynnann Pfautsch, RN
• Alexis Marie Pineiro
• Beverly Pinnock, BSN
• Jadeja Purdie

• Physical Therapist in Mastic Beach, NY
• Providers in Mastic Beach, 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 Jul 8, 2007; 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.

Verify at the official NPI Registry.