| Lisa A Bodratti, PT, DPT | |
|
7 Hemphill Pl Ste 130, Malta, NY 12020-4482 | |
| (518) 289-5242 | |
| (518) 289-5294 |
| Full Name | Lisa A Bodratti |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7 Hemphill Pl Ste 130, Malta, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417478173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Green Room Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1083154132 PECOS PAC ID: 2668887100 Enrollment ID: O20210216001798 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Bodratti, PT, DPT 7 Hemphill Pl Ste 130, Malta, NY 12020-4482 Ph: (518) 289-5242 | Lisa A Bodratti, PT, DPT 7 Hemphill Pl Ste 130, Malta, NY 12020-4482 Ph: (518) 289-5242 |
Sara Anne O'connor, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Hemphill Pl Ste 130, Malta, NY 12020 Phone: 518-289-5242 | |
Dr. James Joseph Breese, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Hemphill Pl Ste 130, Malta, NY 12020 Phone: 518-289-5242 | |
Tori Torrisi, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Hemphill Pl Ste 130, Malta, NY 12020 Phone: 518-289-5242 Fax: 518-289-5294 | |
William Serguei Lineback, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Hemphill Pl Ste 130, Malta, NY 12020 Phone: 151-828-9524 Fax: 518-289-5294 | |
Nuraliman Elmegahed, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Hemphill Pl Ste 130, Malta, NY 12020 Phone: 518-594-1448 | |
Suzanne Gowen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Saratoga Village Blvd, Suite 35, Malta, NY 12020 Phone: 518-899-9235 Fax: 518-899-9315 | |
Andrew Joseph Gaetano, PT, DPT, OCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Hemphill Pl Ste 130, Malta, NY 12020 Phone: 518-577-7106 |