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

Individual provider Physical Therapist · NPI 1093826026

Lisa Sharon Iacovelli, PT is a Physical Therapist in Private Practice in Mill Valley, California. Qualified in 1986, 40 years ago. Practices with Physical Medicine Ctr of Marin, a PT Corp, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
40
Licensed in
CA
In the registry since
2006
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

33 Miller Ave
Mill Valley, CA 94941
Phone: (415) 380-9242
Fax: (415) 388-7458
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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 OPT14541 (CA)

Record details

NPI number1093826026
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Physical Medicine Ctr Of Marin, A Pt Corp. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mill Valley