Active NPIIndividual providerSole proprietor

Lisa Damico, PTA

Physical Therapy Assistant in Pompton Plains, New Jersey

NPI Number1023470341
Practice location
4 Cedar Crest Dr, Pompton Plains, NJ 07444-2161
Fax
—
Last updated
March 25, 2016

Lisa Damico is a Physical Therapy Assistant based in Pompton Plains, NJ. Lisa Damico practices in Pompton Plains, NJ and has the professional credentials of PTA. The NPI Number for Lisa Damico is 1023470341 and holds a License No. 40QB00046100 (NJ). The current practice location address for Lisa Damico is 4 Cedar Crest Dr, Pompton Plains, NJ 07444-2161 and can be reached out via phone at 973-831-3672.

Provider Profile Details

NPI Number
1023470341
Provider Name
Lisa Damico
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
4 Cedar Crest Dr, Pompton Plains, NJ 07444-2161
Phone Number
973-831-3672
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
March 25, 2016
Last Update Date
March 25, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Cedar Crest Dr
Pompton Plains, NJ 07444-2161
Zip
07444-2161
Phone Number
973-831-3672
Pompton Plains, NJ 07444Get directions →

Provider Business Mailing Address Details

Address
4 Cedar Crest Dr
Pompton Plains, NJ 07444-2161
City
Pompton Plains
State
NJ
Zip
07444-2161
Phone Number
973-831-3672

License Information

License Number
40QB00046100
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa Damico, PTA?

The NPI number of Lisa Damico, PTA is 1023470341. It was assigned on March 25, 2016 and is currently active in the NPPES registry.

What is the specialty of Lisa Damico, PTA?

Lisa Damico, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00046100.

Where does Lisa Damico, PTA practice?

The practice location is 4 Cedar Crest Dr, Pompton Plains, NJ 07444-2161. The office can be reached at 973-831-3672 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023470341 directly on the NPPES registry website.

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