Roman L Pisarenko, PTA
Physical Therapy Assistant in West Springfield, Massachusetts
1093515652- Practice location
- 81 Bliss St, West Springfield, MA 01089-3401
- Phone
- 413-304-1078
- Fax
- —
- Last updated
- March 13, 2025
Roman Leonidovich Pisarenko is a Physical Therapy Assistant based in West Springfield, MA. Roman Leonidovich Pisarenko practices in West Springfield, MA and has the professional credentials of PTA. The NPI Number for Roman Leonidovich Pisarenko is 1093515652 and holds a License No. 10005 (MA). The current practice location address for Roman Leonidovich Pisarenko is 81 Bliss St, West Springfield, MA 01089-3401 and can be reached out via phone at 413-304-1078.
Provider Profile Details
- NPI Number
- 1093515652
- Provider Name
- Roman Leonidovich Pisarenko
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 81 Bliss St, West Springfield, MA 01089-3401
- Phone Number
- 413-304-1078
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 13, 2025
- Last Update Date
- March 13, 2025
- Certification Date
- March 13, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 81 Bliss St
West Springfield, MA 01089-3401 - City
- West Springfield
- State
- Massachusetts
- Zip
- 01089-3401
- Phone Number
- 413-304-1078
Provider Business Mailing Address Details
- Address
- 81 Bliss St
West Springfield, MA 01089-3401 - City
- West Springfield
- State
- MA
- Zip
- 01089-3401
- Phone Number
- 413-304-1078
License Information
- License Number
- 10005
- License State
- MA
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Roman L Pisarenko, PTA?
The NPI number of Roman L Pisarenko, PTA is 1093515652. It was assigned on March 13, 2025 and is currently active in the NPPES registry.
What is the specialty of Roman L Pisarenko, PTA?
Roman L Pisarenko, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 10005.
Where does Roman L Pisarenko, PTA practice?
The practice location is 81 Bliss St, West Springfield, MA 01089-3401. The office can be reached at 413-304-1078 (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 1093515652 directly on the NPPES registry website.