Lisa Jerry, PT, DPT
Physical Therapist in Glassboro, New Jersey
1558956243- Practice location
- 707 N Main St, Glassboro, NJ 08028-1605
- Phone
- 856-307-9700
- Fax
- —
- Last updated
- June 24, 2025
Lisa Jerry is a Physical Therapist based in Glassboro, NJ. Lisa Jerry practices in Glassboro, NJ and has the professional credentials of PT, DPT. The NPI Number for Lisa Jerry is 1558956243 and holds a License No. 2305214146 (VA). The current practice location address for Lisa Jerry is 707 N Main St, Glassboro, NJ 08028-1605 and can be reached out via phone at 856-307-9700.
Provider Profile Details
- NPI Number
- 1558956243
- Provider Name
- Lisa Jerry
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 707 N Main St, Glassboro, NJ 08028-1605
- Phone Number
- 856-307-9700
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 4, 2021
- Last Update Date
- June 24, 2025
- Certification Date
- June 24, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 707 N Main St
Glassboro, NJ 08028-1605 - City
- Glassboro
- State
- New Jersey
- Zip
- 08028-1605
- Phone Number
- 856-307-9700
Provider Business Mailing Address Details
- Address
- 707 N Main St Ste 1
Glassboro, NJ 08028-1670 - City
- Glassboro
- State
- NJ
- Zip
- 08028-1670
License Information
- License Number (1)
- 2305214146
- License State (1)
- VA
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- PT872756
- License State (2)
- DC
- Taxonomy (2)
- Physical Therapist · 225100000X
- License Number (3)
- CP044993T
- License State (3)
- NJ
- Taxonomy (3)
- 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 Lisa Jerry, PT, DPT?
The NPI number of Lisa Jerry, PT, DPT is 1558956243. It was assigned on March 4, 2021 and is currently active in the NPPES registry.
What is the specialty of Lisa Jerry, PT, DPT?
Lisa Jerry, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in VA under license number 2305214146.
Where does Lisa Jerry, PT, DPT practice?
The practice location is 707 N Main St, Glassboro, NJ 08028-1605. The office can be reached at 856-307-9700 (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 1558956243 directly on the NPPES registry website.