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

Lise Petricone, PT

Individual provider Pediatric Physical Therapist · NPI 1760635668

Lise Petricone, PT is a Pediatric Physical Therapist in Nyack, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

21 Burd St
Nyack, NY 10960-3205
Phone: (845) 353-2350
Fax: (845) 353-2397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 009027-1 (NY)

Record details

NPI number1760635668
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 23, 2008
Last updated in NPPESJuly 18, 2011
Mailing address21 Burd St, Nyack, NY 10960-3205

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