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

Lisa A Bodratti, PT, DPT

Individual provider Physical Therapist · NPI 1417478173

Lisa A Bodratti, PT, DPT is a Physical Therapist in Private Practice in Malta, New York. Qualified in 2017, 9 years ago. Practices with Green Room Physical Therapy PLLC, a 10-clinician group.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

7 Hemphill Pl Ste 130
Malta, NY 12020-4482
Phone: (518) 289-5242
Fax: (518) 289-5294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1417478173
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 3, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Green Room Physical Therapy Pllc — 10 clinicians
Accepts Medicare assignment Not indicated

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