Provider Demographics
NPI:1932962131
Name:LISA A. KAUFMAN PT PC
Entity Type:Organization
Organization Name:LISA A. KAUFMAN PT PC
Other - Org Name:PLAY&GROW PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OF PRACTICE
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:914-498-1618
Mailing Address - Street 1:15 CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-2518
Mailing Address - Country:US
Mailing Address - Phone:914-498-1618
Mailing Address - Fax:914-663-5315
Practice Address - Street 1:200 WHITE PLAINS RD STE 230
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5838
Practice Address - Country:US
Practice Address - Phone:914-418-5266
Practice Address - Fax:914-663-5315
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LISA A. KAUFMAN PT PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-01
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty