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

Lindsay Divack

Individual provider Physical Therapy Assistant · NPI 1356023824

Lindsay Divack is a Physical Therapy Assistant in Jericho, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

7 Craig St
Jericho, NY 11753-1948
Phone: (516) 761-8651
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 013625 (NY)

Record details

NPI number1356023824
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address7 Craig St, Jericho, NY 11753-1948

Other providers in Jericho