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

Lisa Ann Randberg, PT

Individual provider Physical Therapist · NPI 1588006936

Lisa Ann Randberg, PT is a Physical Therapist in Private Practice in Bohemia, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 1996, 30 years ago. Practices with Metro Physical Occupational Speech Massage Therapy and Acupuncture Pll, a 448-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

56 Debbie Lee Ln
Bohemia, NY 11716-3803
Phone: (631) 751-8000
Fax: (631) 175-8030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 016262-1 (NY)

Record details

NPI number1588006936
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 26, 2013
Last updated in NPPESJuly 26, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Metro Physical Occupational Speech Massage Therapy And Acupuncture Pll — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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