Active NPIIndividual providerSole proprietor

Lisa M Knittle

Developmental Therapist in Boston, Massachusetts

NPI Number1366152118
Practice location
105 Victory RD Bay Cove, Boston, MA 02122-3518
Fax
—
Last updated
December 2, 2022

Lisa Marie Knittle is a Developmental Therapist based in Boston, MA. Lisa Marie Knittle practices in Boston, MA. The NPI Number for Lisa Marie Knittle is 1366152118. The current practice location address for Lisa Marie Knittle is 105 Victory RD Bay Cove, Boston, MA 02122-3518 and can be reached out via phone at 617-371-3010.

Provider Profile Details

NPI Number
1366152118
Provider Name
Lisa Marie Knittle
Provider Entity Type
Individual
Gender
Female
Address
105 Victory RD Bay Cove, Boston, MA 02122-3518
Phone Number
617-371-3010
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 2, 2022
Last Update Date
December 2, 2022
Certification Date
December 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Victory RD Bay Cove
Boston, MA 02122-3518
City
Boston
Zip
02122-3518
Phone Number
617-371-3010
Boston, MA 02122Get directions →

Provider Business Mailing Address Details

Address
105 Victory RD Bay Cove
Boston, MA 02122-3518
City
Boston
State
MA
Zip
02122-3518
Phone Number
617-371-3010

License Information

Taxonomy
Developmental Therapist · 222Q00000X · 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 M Knittle?

The NPI number of Lisa M Knittle is 1366152118. It was assigned on December 2, 2022 and is currently active in the NPPES registry.

What is the specialty of Lisa M Knittle?

Lisa M Knittle is registered under the primary taxonomy Developmental Therapist (code 222Q00000X).

Where does Lisa M Knittle practice?

The practice location is 105 Victory RD Bay Cove, Boston, MA 02122-3518. The office can be reached at 617-371-3010 (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 1366152118 directly on the NPPES registry website.

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