Lisa Bove, PT
Individual provider Active NPI Physical Therapist · Westhampton, NY
NPI 1861603045 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861603045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 012856-1 (NY)
- Practice address
- 78 Old Country Rd
Westhampton, NY 11977-1219 - Phone
- (631) 288-0101
- NPI assigned
- May 27, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012856-1 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 012856-1 | NY | Yes |
Addresses
Primary practice location
78 Old Country Rd
Westhampton, NY 11977-1219
Mailing address
21 Sterling Ave
East Patchogue, NY 11772-5770
Phone (631) 289-5060
Other providers in Westhampton, NY
- 106 RQW FRG P0 Inc
- Joanne Allan
- Terry Renee Bennett
- Beatrice Catherine Birmingham
- Olaf Butchma
- Kelly A Clifford
- Dana Geller DPT PLLC
- Lianna Feliz Dulfon
- East End Healthcare Inc
All providers in Westhampton, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.