Maxine Lis, PT, DPT
Physical Therapist in Medford, New Jersey
1235507039- Practice location
- 176 Route 70, Suite 37, Medford, NJ 08055-8704
- Phone
- 609-714-7733
- Fax
- 609-714-7750
- Last updated
- February 28, 2017
Maxine Lis is a Physical Therapist based in Medford, NJ. Maxine Lis practices in Medford, NJ and has the professional credentials of PT, DPT. The NPI Number for Maxine Lis is 1235507039 and holds a License No. 40QA01619100 (NJ). The current practice location address for Maxine Lis is 176 Route 70, Suite 37, Medford, NJ 08055-8704 and can be reached out via phone at 609-714-7733 and via fax at 609-714-7750.
Provider Profile Details
- NPI Number
- 1235507039
- Provider Name
- Maxine Lis
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 176 Route 70, Suite 37, Medford, NJ 08055-8704
- Phone Number
- 609-714-7733
- Fax Number
- 609-714-7750
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Other Names
- -- Maxine Mitjans, PT, DPT (Former Name)
- Provider Enumeration Date
- September 10, 2015
- Last Update Date
- February 28, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 176 Route 70
Suite 37
Medford, NJ 08055-8704 - City
- Medford
- State
- New Jersey
- Zip
- 08055-8704
- Phone Number
- 609-714-7733
- Fax Number
- 609-714-7750
Provider Business Mailing Address Details
- Address
- 1377 Motor Pkwy
Ste 307
Islandia, NY 11749-5249 - City
- Islandia
- State
- NY
- Zip
- 11749-5249
- Phone Number
- 631-580-5200
- Fax Number
- 631-580-5222
License Information
- License Number
- 40QA01619100
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · 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 Maxine Lis, PT, DPT?
The NPI number of Maxine Lis, PT, DPT is 1235507039. It was assigned on September 10, 2015 and is currently active in the NPPES registry.
What is the specialty of Maxine Lis, PT, DPT?
Maxine Lis, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01619100.
Where does Maxine Lis, PT, DPT practice?
The practice location is 176 Route 70, Suite 37, Medford, NJ 08055-8704. The office can be reached at 609-714-7733 (phone) or 609-714-7750 (fax).
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 1235507039 directly on the NPPES registry website.