Active NPI
Lissette Schum
- Physical Therapist
- Thornwood, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046989
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Access PT, OT, New York, PLLC | Physical Therapist | Current | 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.
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- Bronx, NY
- NPI 1063525152
-
- Physical Therapist
- New City, NY
- NPI 1831539493
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
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.