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LISE PETRICONE PT
NPI 1760635668
Physical Therapist - Pediatrics in Nyack, NY

Active since October 23, 2008
21 BURD ST, NYACK, NY 10960(845) 353-2350(845) 353-2397 Get Directions Write a Review

NPPES record last updated: July 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lise Petricone Pt NPPES

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

LISE PETRICONE PT (NPI 1760635668) is an individual pediatrics provider in Nyack, New York, licensed in New York (009027-1) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1760635668
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameLISE PETRICONECredential: PT
Location Address21 BURD STNyack, NY 10960-3205
Mailing Address21 Burd StNyack, NY 10960-3205 · (845) 353-2350 · Fax (845) 353-2397
Phone(845) 353-2350
Fax(845) 353-2397
Sole ProprietorYes
Enumeration DateOctober 23, 2008
Last NPPES UpdateJuly 18, 2011
✔ NPI 1760635668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NY · 009027-1
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
21 BURD ST, Nyack, NY 10960
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHELLEY FEIN M.A.C.C.C.-SLP
Speech-Language Pathologist
21 BURD ST
NYACK, NY 10960
Rockland County (845) 353-2350
GENILSA ANABEL VALENTIN LANTIGUA I
Case Manager/Care Coordinator
21 BURD ST
NYACK, NY 10960
Rockland County (845) 353-2350
MISS SHANNA M HICKS M.S.
Specialist
21 BURD ST
NYACK, NY 10960
Rockland County (845) 353-2350
DEBRA SILVERSTEIN
Specialist
21 BURD ST, SMALL STEPS
NYACK, NY 10960
Rockland County (845) 353-2350
MS. RUTH S GRANAT MS, SLP, TSSLD
Student in an Organized Health Care Education/Training Program
21 BURD ST
NYACK, NY 10960
Rockland County (845) 353-2350
DEBRA KAUFMAN
Specialist
21 BURD ST
NYACK, NY 10960
Rockland County (845) 353-2350
JOHANNA RAMOS
Case Manager/Care Coordinator
21 BURD ST
NYACK, NY 10960
Rockland County (845) 353-2350
SIBYL S GALES PT
Physical Therapist
21 BURD ST
NYACK, NY 10960
Rockland County (845) 821-0480

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 Lise Petricone's NPI number?

The NPI number for Lise Petricone is 1760635668. It was assigned to this individual provider in the NPPES registry on October 23, 2008.

Where is Lise Petricone located?

Lise Petricone practices at 21 Burd St, Nyack, NY 10960. The listed phone number is (845) 353-2350.

What is Lise Petricone's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Lise Petricone was last updated on July 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.