Active NPIIndividual provider

Lisa O'Brien, PTA

Physical Therapy Assistant in Southington, Connecticut

NPI Number1104207380
Practice location
45 Meriden Ave, Southington, CT 06489-3214
Fax
—
Last updated
June 14, 2015

Lisa O'Brien is a Physical Therapy Assistant based in Southington, CT. Lisa O'Brien practices in Southington, CT and has the professional credentials of PTA. The NPI Number for Lisa O'Brien is 1104207380 and holds a License No. 001560 (CT). The current practice location address for Lisa O'Brien is 45 Meriden Ave, Southington, CT 06489-3214 and can be reached out via phone at 860-378-1234.

Provider Profile Details

NPI Number
1104207380
Provider Name
Lisa O'Brien
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
45 Meriden Ave, Southington, CT 06489-3214
Phone Number
860-378-1234
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2015
Last Update Date
June 14, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Meriden Ave
Southington, CT 06489-3214
Zip
06489-3214
Phone Number
860-378-1234
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
32 Sunnybrook Dr
Manchester, CT 06040-6622
City
Manchester
State
CT
Zip
06040-6622

License Information

License Number
001560
License State
CT
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 O'Brien, PTA?

The NPI number of Lisa O'Brien, PTA is 1104207380. It was assigned on June 14, 2015 and is currently active in the NPPES registry.

What is the specialty of Lisa O'Brien, PTA?

Lisa O'Brien, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in CT under license number 001560.

Where does Lisa O'Brien, PTA practice?

The practice location is 45 Meriden Ave, Southington, CT 06489-3214. The office can be reached at 860-378-1234 (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 1104207380 directly on the NPPES registry website.

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