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

Lisa Rosen

Individual provider Orthopedic Physical Therapist · NPI 1669149167

Lisa Rosen is a Physical Therapist in Private Practice in Windham, Maine. Qualified in 2021, 5 years ago. Practices with Function for Life Physical Therapy Inc, a 36-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
5
Licensed in
ME
In the registry since
2021
Specialties on file
2

Practice location Address checks out

4 Commons Ave Ste A
Windham, ME 04062-5554
Phone: (207) 893-1738
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT6034 (ME)
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1669149167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021
Mailing address324 Gannett Dr Ste 200, South Portland, ME 04106-3266

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Function For Life Physical Therapy Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Windham