Andrew Lisitsky, | |
603 Division St, North Tonawanda, NY 14120-4464 | |
(716) 693-0556 | |
(866) 907-6157 |
Full Name | Andrew Lisitsky |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 603 Division St, North Tonawanda, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104887587 | NPI | - | NPPES |
7588LI | Other | WA | REGENCE |
5479LI | Other | WA | REGENCE |
7587LI | Other | WA | REGENCE |
0219769 | Other | WA | L&I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00008783 (Washington) | Secondary |
225100000X | Physical Therapist | 023017 (New York) | Primary |
Provider Name | Stride Physio Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750703567 PECOS PAC ID: 9234432014 Enrollment ID: O20160128001502 |
Mailing Address | Practice Location Address |
---|---|
Andrew Lisitsky, 603 Division St, North Tonawanda, NY 14120-4464 Ph: (716) 693-0556 | Andrew Lisitsky, 603 Division St, North Tonawanda, NY 14120-4464 Ph: (716) 693-0556 |
Dr. Thomas Wade Danat Jr., PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 573 Mazda Ter Uppr, North Tonawanda, NY 14120 Phone: 716-418-2428 | |
Dr. Lynn W Kelly, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7258 Winbert Dr, North Tonawanda, NY 14120 Phone: 716-694-4179 | |
Mrs. Kathryn A Cardona, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 415 Tremont St, North Tonawanda, NY 14120 Phone: 716-690-2031 Fax: 716-690-2160 | |
Ms. Stephanie Lynn Singh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5205 Oakwood Dr, North Tonawanda, NY 14120 Phone: 716-759-1604 | |
John Peter Schroeder, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 415 Tremont St, North Tonawanda, NY 14120 Phone: 716-690-2031 | |
Mrs. Rebeca Michelle Dena, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7050 Witmer Rd, North Tonawanda, NY 14120 Phone: 716-695-0652 Fax: 716-695-0652 |