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

MS. Lisa Pan, PT, DPT

Individual provider Orthopedic Physical Therapist · NPI 1104376417

MS. Lisa Pan, PT, DPT is a Physical Therapist in Private Practice in Glen Mills, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Virginia Luna Care Physical Therapy LLC, a 89-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

331 Wilmington Pike
Glen Mills, PA 19342-2277
Phone: (610) 558-5866
Fax: (610) 558-6103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT025572 (PA)

Record details

NPI number1104376417
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 11, 2016
Last updated in NPPESOctober 11, 2016
Mailing address120 W Germantown Pike, Suite 100, Plymouth Meeting, PA 19462-1420

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Virginia Luna Care Physical Therapy Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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