| Lifestyle Physical Therapy, Llc | |
|
1384 Broadway Ste 606, New York, NY 10018-6108 | |
| (631) 896-3821 | |
| Not Available |
| Full Name | Lifestyle Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1384 Broadway Ste 606, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023533619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 038508-1 (New York) | Primary |
| Provider Name | Jessie W Cavazos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801045737 PECOS PAC ID: 6507905593 Enrollment ID: I20091204000236 |
| Provider Name | Alexis Allmaier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841699675 PECOS PAC ID: 8820311731 Enrollment ID: I20141230000822 |
| Provider Name | Matthew I Seltzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780082644 PECOS PAC ID: 7315265063 Enrollment ID: I20150409001804 |
| Provider Name | John A Sheridan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154876399 PECOS PAC ID: 8022372093 Enrollment ID: I20180430001250 |
| Provider Name | Monisha S George |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265912554 PECOS PAC ID: 5991056665 Enrollment ID: I20180919000340 |
| Provider Name | Katie Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437729530 PECOS PAC ID: 0648674283 Enrollment ID: I20210804002763 |
| Provider Name | Nolan Winkelmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316651698 PECOS PAC ID: 3870965809 Enrollment ID: I20230221000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Physical Therapy, Llc 1384 Broadway Ste 606, New York, NY 10018-6108 Ph: (212) 302-0141 | Lifestyle Physical Therapy, Llc 1384 Broadway Ste 606, New York, NY 10018-6108 Ph: (631) 896-3821 |
Wilbert Lao, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 W 26th St, Suite 302, New York, NY 10010 Phone: 718-285-0588 Fax: 718-285-9323 | |
Elisabeth Anne Frank, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 5th Ave, 22nd Floor, New York, NY 10017 Phone: 404-849-5770 | |
Ryanne Tanae Glasper, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 230 W 38th St Fl 18, New York, NY 10018 Phone: 212-997-7490 Fax: 212-007-7492 | |
Miss Shari Ilise Nadel, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 W 35th St, Suite 407, New York, NY 10001 Phone: 917-591-8494 | |
Katherine Spencer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 W 108th St Apt 41, New York, NY 10025 Phone: 585-737-2360 | |
Kunjan Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 3rd Ave, 5th Floor, New York, NY 10017 Phone: 212-204-5144 | |
Mr. Ramoncito Tiosejo Dizon, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1615 Madison Ave, New York, NY 10029 Phone: 212-860-5803 Fax: 212-860-6095 |