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

Lisa Rose Blum

Individual provider Physical Therapist · NPI 1891260402

Lisa Rose Blum is a Physical Therapist in Private Practice in New York, New York. Qualified in 2018, 8 years ago. Practices with Lisa Blum Physical Therapy PLLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

99 University Pl Fl 9
New York, NY 10003-4528
Phone: (212) 604-1316
Fax: (212) 604-1320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 Northern Blvd Ste 11, Great Neck, NY 11021-4802 — (516) 829-0030

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 043633 (NY)

Record details

NPI number1891260402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 10, 2018
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lisa Blum Physical Therapy Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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