Active NPI
Lisa M Giordano, MPT
- Physical Therapist
- North Wales, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016394
- Practice address
- 800 Upper State Rd
North Wales, PA 19454-1404 - Phone
- (215) 855-1160
- Fax
- (215) 855-5109
- NPI assigned
- Jun 3, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0001381 | DE | |
| Physical Therapist | 225100000X | PT016394 | PA | Primary |
Addresses
Primary practice location
800 Upper State Rd
North Wales, PA 19454-1404
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050
Other practice location 1
904 Churchmans Road Ext
New Castle, DE 19720-3151
Phone (302) 323-1118 ext. 2002
Other practice location 2
1915 Guernsey Ave
Abington, PA 19001-3701
Phone (215) 659-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0001381 | DE | MD | Physical Therapist |
| PT016394 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy and Wellness Institute LLC | Physical Therapist | Current | Accepting new patients |
| Progress Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
3537 West Chester Pike
Newtown Square, PA 19073
Phone (610) 601-9177
800 Upper State Rd
North Wales, PA 19454
Phone (215) 855-1160
Organizations & group practices 2
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.
-
- Physical Therapist
- Lansdale, PA
- NPI 1740208339
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1982830048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 UPPER STATE RD",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194541404",
"telephone_number": "215-855-1160",
"fax_number": "215-855-5109"
}
],
"practiceLocations": [
{
"address_1": "904 Churchmans Road Ext",
"address_purpose": "LOCATION",
"city": "New Castle",
"state": "DE",
"postal_code": "197203151",
"country_code": "US",
"telephone_number": "302-323-1118 x2002",
"fax_number": "302-323-1173",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1915 Guernsey Ave",
"address_purpose": "LOCATION",
"city": "Abington",
"state": "PA",
"postal_code": "190013701",
"country_code": "US",
"telephone_number": "215-659-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIORDANO",
"first_name": "LISA",
"middle_name": "M",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0001381",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Wales, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.