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

MS. Lisa Anne Grieco, PTDPTOCS

Individual provider Physical Therapist · NPI 1083689145

MS. Lisa Anne Grieco, PTDPTOCS is a Physical Therapist in Private Practice in Nesconset, New York. Qualified in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

267 Smithtown Blvd Ste D
Nesconset, NY 11767-2120
Phone: (631) 724-5433
Fax: (631) 724-5478
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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 0176501 (NY)

Record details

NPI number1083689145
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTDPTOCS
Sole proprietorYes
NPI enumeratedFebruary 22, 2006
Last updated in NPPESApril 4, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Nesconset