Individual provider Active NPI

Lisa M Giordano, MPT

  • Physical Therapist
  • North Wales, PA
National Provider Identifier
1982830048
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016394 Issued in PA
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

Updated by the provider on Dec 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
J1-0001381DEMDPhysical Therapist
PT016394PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Jan 2, 2022 Accepting new patients
Progress Physical Therapy LLC Physical Therapist PastSince Nov 1, 2013 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.

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.

Verify at the official NPI Registry.