Lisa Miske, M.S., O.T.R./L
Individual provider Active NPI Occupational Therapist · Centerport, NY
NPI 1952850141 · NPPES record last updated Sep 28, 2016
Key facts
- NPI
- 1952850141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 008781-1 (NY)
- Practice address
- 27 Cranbrook CT
Centerport, NY 11721-1769 - Phone
- (631) 902-5597
- NPI assigned
- Sep 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optimum Therapeutics PT and OT PLLC
Matthew Colucci P.T.,P.C.
Practice addresses (Care Compare)
1 Huntington Quadrangle
Suite 1S07
Melville, NY 11747-4426
Phone (516) 222-2010
15 Dixie LN
East Islip, NY 11730-2518
Phone (516) 380-8450
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180319002138 | NY | Practitioner - Occupational Therapist in Private Practice | 4688936263 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008781-1 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Therapeutics PT & OT PLLC | Occupational Therapist | Current |
Accepting new patients |
| Matthew Colucci P.T.,P.C. | Current |
Accepting new patients | |
| B Stern Physical Therapy P.C. | Occupational Therapist | Current |
Accepting new patients |
| Stern at Home Physical Therapy PC | Occupational Therapist | Current |
Accepting new patients |
| Propel Physical Therapy PC | Occupational Therapist | Past |
Accepting new patients |
| Genesis Medical Health PC | Past | Accepting new patients |
Locations
440 Beach 21st St
Far Rockaway, NY 11691
Phone (718) 327-5500
1 Huntington Quadrangle
Ste 1S07
Melville, NY 11747
Phone (516) 222-2010
23 Robert Pitt Dr
Ste 110
Monsey, NY 10952
25 Robert Pitt Dr
Ste 109
Monsey, NY 10952
Phone (845) 625-2818
4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131
2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 008781-1 | NY | Yes |
Addresses
Primary practice location
27 Cranbrook CT
Centerport, NY 11721-1769
Mailing address
27 Cranbrook CT
Centerport, NY 11721-1769
Phone (631) 902-5597
Other providers in Centerport, NY
- Katharine Jane Mann
- Rosemary Alice Marcaccio
- Kellie A Martin-Mendonis
- Joshua Aaron May
- Tara May
- Joanne Marie Morency
- Celeste Yvette Morin
- Caitlin Morrone
- Alison Murray
- Naomi R Ulrich Ma Occupational Therapist PC
All providers in Centerport, NY · Occupational 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 Sep 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.