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

Lisa M Koczak, DPT

Individual provider Physical Therapist · NPI 1063734473

Lisa M Koczak, DPT is a Physical Therapist in Private Practice in Hamden, Connecticut. Qualified in 2010, 16 years ago. Practices with Connecticut Orthopaedic Specialists PC, a 183-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
16
Licensed in
CT
In the registry since
2010
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2416 Whitney Ave Second Fl
Hamden, CT 06518-3249
Phone: (203) 407-3590
Fax: (203) 466-8527
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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 8736 (CT)

Record details

NPI number1063734473
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 26, 2010
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Connecticut Orthopaedic Specialists Pc — 183 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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