MS. LISA PACIFICO (NPI# 1417351156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417351156 |
| Entity Type | Individual |
| Full Name | MS. LISA PACIFICO |
| Credential | P.T. |
| Practice Address |
44 Maritime Dive Mystic CT 06355 |
| Mailing Address |
44 Maritime Drive Mystic CT 06355 |
| Practice Telephone | 8605721700 |
| Mailing Telephone | 8605721700 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
007696 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
44 MARITIME DIVE |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770076069 | Brian Kristofer Owczarski | Physical Therapist | 80 Stonington Rd Ste A-3, Mystic, CT 06355 | 2018-06-11 |
| 1922554120 | Kayla Nickerson Gauthier | Marriage & Family Therapist | 41 Williams Ave, Mystic, CT 06355 | 2016-08-28 |
| 1619386539 | Jennifer Rock | Occupational Therapist | 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 | 2014-08-05 |
| 1346565843 | Karen Lucille Hanscom | Psychologist | 47 Water St. #203, Mystic, CT 06355 | 2010-03-29 |
| 1346415627 | Eldon Richard Kilpatrick | Physical Therapy Assistant | 186 Jerry Browne Rd, Mystic, CT 06355 | 2008-04-28 |
| 1760688931 | Heather Elyse Geyer | Physical Therapist | 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 | 2007-06-25 |
| 1982728754 | Falck Eye Center LLC | Ophthalmology | 35 Washington Street, Mystic, CT 06355 | 2007-03-19 |
| 1881724326 | Richard Irwin Steinberg | Dentist | 117 Cow Hill Road, Mystic, CT 06355 | 2007-03-06 |
| 1992890362 | Coastal Dermatology, P.C. | Dermatology | 55 Willow Street, Mystic, CT 06355 | 2006-10-03 |
| 1295841682 | Annette Lupinacci Headley | Dermatology | 56 Whitehall Avenue, Mystic, CT 06355 | 2006-08-21 |
| Find all providers in zip 06355 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174902381 | Lynnette Dufresne | Physical Therapist | 84 Brown St, Hamden, CT 06518-2102 | 2015-05-20 |
| 1205234101 | Alden Alleyne | Physical Therapist | 126 Carey Ave, Meriden, CT 06451-1907 | 2014-12-09 |
| 1598009177 | Body Flex Physical Therapy LLC | Physical Therapist | 28 Kristen Dr, Portland, CT 06480-1153 | 2012-11-20 |
| 1083848220 | Personal Therapy and Home Safety, LLC | Physical Therapist | 129 Coldbrook Rd, South Glastonbury, CT 06073-2709 | 2009-05-02 |
| 1477723716 | Lesley May Pincince | Physical Therapist | 330 Amity Rd, Woodbridge, CT 06525-2131 | 2008-03-03 |
| 1730357294 | Anna Antonovsky Rojek | Physical Therapist | 31 W Maxwell Dr, West Hartford, CT 06107-1442 | 2008-02-18 |
| 1760600860 | Paula Bishop | Physical Therapist | 1157 Highland Ave, Suite 101, Cheshire, CT 06410-1600 | 2007-04-23 |
| 1649304643 | Michael Joseph Catuccio | Physical Therapist | 2 Case Cir, West Simsbury, CT 06092-2200 | 2007-03-14 |
| 1710993597 | William F. Burke Jr. | Physical Therapist | 70 Rosewood Dr, Suffield, CT 06078-2014 | 2006-07-31 |
| 1265401293 | Jennifer Anne Robbins | Physical Therapist | 26 Grey Rock Dr, Greenwich, CT 06831-4233 | 2006-03-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.