MS. LISA PACIFICO P.T.
NPI 1417351156
Physical Therapist - Geriatrics in Mystic, CT

Q: What is Lisa Pacifico's NPI number?

The NPI number for Lisa Pacifico is 1417351156. It was assigned to this individual provider in the NPPES registry on October 9, 2014.

Q: What is Lisa Pacifico's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Pacifico was last updated on October 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 09, 2014

44 MARITIME DIVE, MYSTIC, CT 06355(860) 572-1700 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ms. Lisa Pacifico P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA PACIFICO P.T. (NPI 1417351156) is an individual geriatrics provider in Mystic, Connecticut, licensed in Connecticut (007696) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1417351156

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameMS. LISA PACIFICOCredential: P.T.

Location Address44 MARITIME DIVEMystic, CT 06355

Mailing Address44 Maritime DriveMystic, CT 06355 · (860) 572-1700

Phone(860) 572-1700

Sole ProprietorNo

Enumeration DateOctober 9, 2014

✔ NPI 1417351156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in CT · 007696

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

44 MARITIME DIVE, Mystic, CT 06355

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Pacifico's NPI number?

The NPI number for Lisa Pacifico is 1417351156. It was assigned to this individual provider in the NPPES registry on October 9, 2014.

Where is Lisa Pacifico located?

Lisa Pacifico practices at 44 Maritime Dive, Mystic, CT 06355. The listed phone number is (860) 572-1700.

What is Lisa Pacifico's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Lisa Pacifico was last updated on October 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.