LISA J. HERZOG (NPI# 1669675047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669675047 |
Entity Type | Individual |
Full Name | LISA J. HERZOG |
Credential | P.T. |
Practice Address |
22 Bosher Dr Albany NY 12205-1702 |
Practice Telephone | 5184823280 |
Practice Fax Number | 5184823280 |
Mailing Telephone | 5184823280 |
Mailing Fax Number | 5184823280 |
Enumeration Date | 2007-06-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
0146841 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
22 BOSHER DR |
City | ALBANY |
State | NY |
Zip Code | 12205-1702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
Find all providers in zip 12205 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447629050 | Nancy Hellman | Physical Therapist | 26 Computer Dr E, Albany, NY 12205-1112 | 2015-09-24 |
1730589847 | Athena Batsios | Physical Therapist | 1 Rapp Rd, Albany, NY 12203-4491 | 2014-08-26 |
1346487535 | Antonia Margaret Aliberti | Physical Therapist | 1 Rapp Rd, Albany, NY 12203-4491 | 2009-01-09 |
1902935414 | Mighty Oaks Children's Therapy Center | Physical Therapist | 3615 Spicer Dr Se, Albany, OR 97322-7043 | 2007-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
1295398279 | Developmental Steps, LLC | Physical Therapist | 388 Westchester Ave Ste 1a-1b, Port Chester, NY 10573-3650 | 2019-04-16 |
1982176079 | Abilities Center, Pllc | Physical Therapist | 10 Mountain Ledge, Wilton, NY 12831-2539 | 2018-12-30 |
1922575026 | Hallie Rebecca Stock | Physical Therapist | 74 Stuyvesant Ave, Larchmont, NY 10538-2730 | 2018-10-26 |
1508331281 | Jaya Rachwani Parshotam | Physical Therapist | 323 W 96th St Apt 509, New York, NY 10025-6279 | 2018-10-09 |
1730663931 | Monica Isabel Bhardwaj | Physical Therapist | 1044 Cove Rd, Mamaroneck, NY 10543-4308 | 2018-09-24 |
1952884934 | Jumping Feet Mgmt Corp. | Physical Therapist | 175 19th St Apt 501, Brooklyn, NY 11232-1026 | 2018-09-14 |
1467934000 | Victoria Buchanan | Physical Therapist | 199 Thorncliff Rd, Buffalo, NY 14223-1241 | 2018-08-30 |
1841786324 | Sunshine Rehab Pt PC | Physical Therapist | 19840 32nd Ave Apt B2, Flushing, NY 11358 | 2018-07-08 |
1346734472 | Dale Scalise-smith | Physical Therapist | 24 Osborn St, Stony Point, NY 10980-3651 | 2018-06-21 |
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.