MS. LISA PAN (NPI# 1104376417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104376417 |
| Entity Type | Individual |
| Full Name | MS. LISA PAN |
| Credential | PT, DPT |
| Practice Address |
331 Wilmington Pike Glen Mills PA 19342-2277 |
| Mailing Address |
120 W Germantown Pike Suite 100 Plymouth Meeting PA 19462-1420 |
| Practice Telephone | 6105585866 |
| Practice Fax Number | 6105586103 |
| Mailing Telephone | 6102700370 |
| Mailing Fax Number | 6102700374 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT025572 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336299270 | Lisa Pan | Psychiatry & Neurology | 100 N Bellefield Ave, Suite 465, Pittsburgh, PA 15213-2600 | 2007-01-11 |
| 1144732991 | Lisa Pan | Specialist | 116 W 32nd St, New York, NY 10001-3212 | 2017-11-02 |
| Street Address |
331 WILMINGTON PIKE |
| City | GLEN MILLS |
| State | PA |
| Zip Code | 19342-2277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699773960 | Gregory Worthing Masiko | Physical Therapist | 331 Wilmington Pike, Suite 1, Glen Mills, PA 19342-2277 | 2005-07-12 |
| 1164084430 | Vincent Tomasetti | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2019-07-08 |
| 1841852845 | Rachel Graham | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2019-07-01 |
| 1386102374 | Grace Mulcahy | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2019-03-08 |
| 1780162628 | Timothy Golder | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2018-08-02 |
| 1750873279 | Rebecca Emerich | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2018-05-31 |
| 1720589294 | Daniel Johnson | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2018-02-21 |
| 1245767169 | Jonathan Mayer | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2017-05-23 |
| 1760921548 | Amy Gabriel | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2017-02-14 |
| 1558809327 | Kaitlyn Colagreco | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2017-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038669 | Katherine Bilinski | Dietitian, Registered | 239 Winsor Court, Glen Mills, PA 19342 | 2018-10-03 |
| 1568969624 | Revathi Sangeetha Thirumaran | Nurse Anesthetist, Certified Registered | 24 Chamberlain Ct, Glen Mills, PA 19342 | 2018-04-06 |
| 1871098459 | Kristen Marie Rhodes | Counselor | 245 Bethel Road, Glen Mills, PA 19342 | 2018-03-27 |
| 1295256212 | Heart 2 Heart Home Care Agency | Home Health | 11 Mount Aire Farm Road, Glen Mills, PA 19342 | 2017-06-29 |
| 1285088385 | Christopher Clark | Occupational Therapist | 101 Applied Bank Blvd Ste D4, Glen Mills, PA 19342 | 2016-04-15 |
| 1528439742 | Dental Professionals of Pennsylvania, PC | Dentist | 1751 Wilmington Pike, Suite F-2, F-3, Glen Mills, PA 19342 | 2015-10-14 |
| 1760853246 | Wegmans Food Markets, Inc. | Pharmacy | 100 Applied Bank Blvd, Glen Mills, PA 19342 | 2015-10-09 |
| 1508289893 | Mandy Fadakar | Pharmacist | 700 Evergreen Drive, Glenn Mills, PA 19342 | 2014-01-23 |
| 1073944476 | Amanda M Hoffman | Behavioral Analyst | 4 Mohawk Court, Glen Mills, PA 19342 | 2013-12-10 |
| 1235576075 | Sarah E Tonelli | Dermatology | 500 Evergreen Dr Ste 20, Glen Mills, PA 19342 | 2013-06-03 |
| Find all providers in zip 19342 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512631 | Debra Eyer | Physical Therapist | 331 Wilmington W Chester Pike, Glen Mills, PA 19342-8210 | 2019-08-06 |
| 1164084430 | Vincent Tomasetti | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2019-07-08 |
| 1841852845 | Rachel Graham | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2019-07-01 |
| 1386102374 | Grace Mulcahy | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2019-03-08 |
| 1750873279 | Rebecca Emerich | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2018-05-31 |
| 1720589294 | Daniel Johnson | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2018-02-21 |
| 1245767169 | Jonathan Mayer | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2017-05-23 |
| 1760921548 | Amy Gabriel | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2017-02-14 |
| 1558809327 | Kaitlyn Colagreco | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2017-02-01 |
| 1184016891 | Nicholas Dundon | Physical Therapist | 331 Wilmington Pike, Glen Mills, PA 19342-2277 | 2015-03-04 |
| Find all providers in GLEN MILLS | ||||
| City | GLEN MILLS |
| Zip Code | 19342 |
Please comment or provide details below to improve the information on MS. LISA PAN.
| 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.