Lisa Macdonald, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031718-1 Issued in NY

Practice address

1400 York Ave
Main Floor
New York, NY 10021-3443

Phone

(212) 988-9057

Fax

(212) 988-9196

NPI assigned

Aug 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Corey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1982836573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 YORK AVE",
            "address_2": "MAIN FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213443",
            "telephone_number": "212-988-9057",
            "fax_number": "212-988-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 YORK AVE",
            "address_2": "MAIN FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213443",
            "telephone_number": "212-988-9057",
            "fax_number": "212-988-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "LISA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031718-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "COREY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas Kurt Macdonald, M.D.
• Jeffrey Macdonald
• Josclyn L Macdonald, LMSW
• Kurt Macdonald
• Laura Stephenie Macdonald, B.SC., O.D.
• Margaret Russell Macdonald, M.D.
• Mary Macdonald, SLP
• Matthew Keith Macdonald, DDS
• Meg Macdonald, MHC
• Michelle Macdonald

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.