Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lyceum Physical Medicine, PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1235422759

Lyceum Physical Medicine, PC is a Physical Medicine & Rehabilitation Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6062 Ridge Ave
Philadelphia, PA 19128
Phone: (215) 508-5555
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
General Practice Physician Taxonomy 208D00000X · Licence MD034915E (PA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence MD032971E (PA)

Record details

NPI number1235422759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pezzello — Owner · (215) 508-5555
NPI enumeratedMay 17, 2011
Last updated in NPPESAugust 10, 2015
Mailing address6062 Ridge Avenue, Philadelphia, PA 19128

Other providers in Philadelphia