Lisa Kallquist (NPI# 1568942993, PAC ID# 2567709900) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1568942993 |
| PAC ID by PECOS | 2567709900 |
| Professional Enrollment ID | I20190123003659 |
| Full Name | Lisa Kallquist |
| Organization Legal Name | LIFELONG THERAPEUTICS OT PLLC |
| Address |
166 Mount Pleasant Rd Newtown CT 06470-1456 |
| Phone Number | 6312780665 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 6901064013 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 166 Mount Pleasant Rd, Newtown, CT 06470-1456 | 6312780665 | LIFELONG THERAPEUTICS OT PLLC |
| Organization Legal Name | LIFELONG THERAPEUTICS OT PLLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefania Maria Solustri | Occupational Therapy | Lifelong Therapeutics Ot Pllc | 73 Strawberry Hill Ave, Norwalk, CT 06855-1430 |
| Mindy Ellen Markowitz | Occupational Therapy | Lifelong Therapeutics Ot Pllc | 19 Constitution Way, Litchfield, CT 06759-3428 |
| Shane O'shea | Occupational Therapy | Lifelong Therapeutics Ot Pllc | 1 /2 Bolling Pl, Greenwich, CT 06830-6540 |
| Susan Humphrey | Occupational Therapy | Lifelong Therapeutics Ot Pllc | 166 Mount Pleasant Rd, Newtown, CT 06470-1456 |
| Allan Meyer | Occupational Therapy | Lifelong Therapeutics Ot Pllc | 5515 Little Neck Pkwy, Little Neck, NY 11362-2203 |
| Heidi Putman | Physical Therapy | Lifelong Therapeutics Ot Pllc | 599 Post Rd, Darien, CT 06820-3609 |
| Susana Campos | Physical Therapy | Lifelong Therapeutics Ot Pllc | 493 Heritage Rd, Suite 1c, Southbury, CT 06488-3879 |
| Keith Coy | Physical Therapy | Lifelong Therapeutics Ot Pllc | 493 Heritage Rd, Suite 1c, Southbury, CT 06488-3879 |
| Murtaza Khumri | Physical Therapy | Lifelong Therapeutics Ot Pllc | 19 Constitution Way, Litchfield, CT 06759-3428 |
| Olivia O Longley | Occupational Therapy | Lifelong Therapeutics Ot Pllc | 166 Mount Pleasant Rd, Newtown, CT 06470-1456 |
| Street Address |
166 MOUNT PLEASANT RD |
| City | NEWTOWN |
| State | CT |
| Zip | 06470-1456 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Humphrey | Occupational Therapy | Lifelong Therapeutics Ot Pllc | 166 Mount Pleasant Rd, Newtown, CT 06470-1456 |
| Olivia O Longley | Occupational Therapy | Lifelong Therapeutics Ot Pllc | 166 Mount Pleasant Rd, Newtown, CT 06470-1456 |
| Jake Christian Sasis | Physical Therapy | Lifelong Therapeutics Ot Pllc | 166 Mount Pleasant Rd, Newtown, CT 06470-1456 |
| Benjamin Urgel Cantorne | Physical Therapy | Lifelong Therapeutics Ot Pllc | 166 Mount Pleasant Rd, Newtown, CT 06470-1456 |
| Wing Kwan Tsoi Cheung | Physical Therapy | Lifelong Therapeutics Ot Pllc | 166 Mount Pleasant Rd, Newtown, CT 06470-1456 |
| Lydia Velez | Occupational Therapy | Lifelong Therapeutics Ot Pllc | 166 Mount Pleasant Rd, Newtown, CT 06470-1456 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernadette T Mcsweeney | Clinical Social Worker | 4 E St, Newtown, CT 06470-1340 | |
| Susan Olsen | Physician Assistant | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Raymond Raut | Nephrology | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Andrea Roche Recinos | Nephrology | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Kimberly M Eickhorst | Dermatology | Dermatology Associates of Western Connecticut, PC | 170 Mount Pleasant Rd, Suite 201, Newtown, CT 06470-1408 |
| Maura Conway | Family Medicine | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Guillermo J Ballarino | Pulmonary Disease | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Laurence A Sibrack | Dermatology | Dermatology Associates of Western Connecticut, PC | 170 Mount Pleasant Rd, Suite 201, Newtown, CT 06470-1408 |
| Nya A Rossi | Physician Assistant | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Carmela Jeanine Luzi | Physician Assistant | Dermatology Associates of Western Connecticut, PC | 170 Mount Pleasant Rd, Suite 201, Newtown, CT 06470-1408 |
| Find all physicians in zip 06470 | |||
| City | NEWTOWN |
| Zip Code | 06470 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | NEWTOWN + OCCUPATIONAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.