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

Mrs. Jennifer E Lackowitz, PT

Individual provider Physical Therapist · NPI 1881730497

Mrs. Jennifer E Lackowitz, PT is a Physical Therapist in Private Practice in Patchogue, New York. Qualified in 1993, 33 years ago. Practices with Steven C. Desousa, PT, PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
33
Licensed in
NY
In the registry since
2007
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

440 Waverly Ave Ste 5
Patchogue, NY 11772-1597
Phone: (631) 758-5700
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 014415 (NY)

Record details

NPI number1881730497
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJuly 8, 2007
Mailing address21 Demont St, Smithtown, NY 11787

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Steven C. Desousa, Pt, Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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