LISA ROSE BLUM
NPI 1891260402
Physical Therapist in New York, NY
NPI Status: Active since October 10, 2018
Contact Information
99 UNIVERSITY PL
FL 9
NEW YORK, NY
ZIP 10003
Phone: (212) 604-1316
Fax: (212) 604-1320
- Individual
- Female
- Years of Experience 8
- Physical Therapist
- Accepts Medicare Approved Payment
About LISA BLUM
This page provides the complete NPI Profile along with additional information for Lisa Blum, a provider established in New York, New York with a medical specialization in Physical Therapist and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1891260402 assigned on October 2018. The practitioner's primary taxonomy code is 225100000X with license number 043633 (NY). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1891260402
- Provider Name
- LISA ROSE BLUM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 99 UNIVERSITY PL FL 9 NEW YORK, NY 10003
- Location Phone
- (212) 604-1316
- Location Fax
- (212) 604-1320
- Mailing Address
- 99 UNIVERSITY PL FL 9 NEW YORK, NY 10003
- Mailing Phone
- (212) 604-1316
- Mailing Fax
- (212) 604-1320
- Medical School Name
- OTHER
- Graduation Year
- 2018
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-10-2018
- Last Update Date
- 07-09-2021
- Code Navigator
Location Map
Secondary Locations
- 475 Northern Blvd Ste 11
Great Neck, NY 11021
(516) 829-0030
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 043633
- License State
- NY
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS Enrollment Status
Lisa Blum is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 2860745817
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20181022002302
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Evaluation for physical therapy, typically 30 minutes
Evaluation for physical therapy, typically 45 minutes
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using functional activities
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
This service was performed 33 times for 30 patientsAn evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
This service was performed 16 times for 14 patientsThis therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
This service was performed 2,280 times for 64 patientsThis therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
This service was performed 66 times for 12 patientsA therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
This service was performed 1,560 times for 62 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $25.51 for a new patient copayment and $20.36 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 10003 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $102.04
- Minimum New Patient Price $65.69
- Maximum New Patient Price $198.19
- Average New Patient Copayment $25.51
- Minimum New Patient Copayment $16.42
- Maximum New Patient Copayment $49.54
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $81.44
- Minimum Established Patient Price $21.2
- Maximum Established Patient Price $160.66
- Average Established Patient Copayment $20.36
- Minimum Established Patient Copayment $5.3
- Maximum Established Patient Copayment $40.16
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1891260402, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW YORK, NY 10003
NEW YORK, NY 10003
NEW YORK, NY 10003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891260402, enumerated as an "individual" on October 10, 2018.
The provider is located at 99 UNIVERSITY PL FL 9 NEW YORK, NY 10003 and the phone number is (212) 604-1316.
Physical Therapist with taxonomy code 225100000X.
