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

Andrew Lisitsky

Individual provider Physical Therapist · NPI 1104887587

Andrew Lisitsky is a Physical Therapist in Beaverton, Oregon. Works from 3 locations. Licensed in New York, Oregon and Washington.

Licensed in
NY, OR, WA
In the registry since
2006
Specialties on file
3

Practice location Address checks out

17885 NE Evergreen Pkwy Ste 220
Beaverton, OR 97006
Phone: (503) 571-3366
Show map & directions

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

Additional practice locations (2)

  • 603 Division St, North Tonawanda, NY 14120-4464 — (716) 693-0556
  • 11800 Ne 128th St, Kirkland, WA 98034-7208 — (425) 820-0869

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 65461 (OR)
Physical Therapist Taxonomy 225100000X · Licence 023017 (NY)
Physical Therapist Taxonomy 225100000X · Licence PT00008783 (WA)

Record details

NPI number1104887587
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESDecember 4, 2024
Certification dateDecember 3, 2024
Mailing address603 Division St, North Tonawanda, NY 14120-4464

Other providers in Beaverton