Individual provider Active NPI

Lissette Schum

  • Physical Therapist
  • Thornwood, NY
National Provider Identifier
1902482219
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046989 Issued in NY
Practice address
855 Franklin Ave
Thornwood, NY 10594-1439
Phone
(914) 769-7690
Fax
(914) 769-8077
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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 046989 NY Primary

Addresses

Primary practice location

855 Franklin Ave
Thornwood, NY 10594-1439

Mailing address

16 Maybrook Rd Ste J
Campbell Hall, NY 10916-2741
Phone (845) 636-4344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210414000629 NY Practitioner - Physical Therapist in Private Practice 4082022991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

1825 Commerce St
Suite 1
Yorktown Heights, NY 10598-4432
Phone (914) 302-9160

4 Westchester Park Dr
Suite 315
White Plains, NY 10604-3497
Phone (914) 688-1770

855 Franklin Ave
Thornwood, NY 10594-1439
Phone (914) 769-7690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Access PT, OT, New York, PLLC Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients

Locations

434 Old Post Rd
Bedford, NY 10506
Phone (914) 234-4445

111 E 210th St
Bronx, NY 10467

16 Maybrook Rd
Ste J
Campbell Hall, NY 10916

16 Maybrook Rd
Ste L
Campbell Hall, NY 10916

14 Thiells Mount Ivy Rd
Ste 2
Pomona, NY 10970
Phone (845) 694-8808

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1902482219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAYBROOK RD STE J",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162741",
            "telephone_number": "845-636-4344",
            "fax_number": "845-636-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 FRANKLIN AVE",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941439",
            "telephone_number": "914-769-7690",
            "fax_number": "914-769-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUM",
        "first_name": "LISSETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.