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

Individual provider Physical Therapist · NPI 1194092171

MS. Lisa Piccolo, PHYSICALTHERAPIST is a Physical Therapist in Port Ewen, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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Practice location Address checks out

319 Broadway Ulster Boces Alternative Education
Port Ewen, NY 12466
Phone: (845) 339-8707
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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 015113-1 (NY)

Record details

NPI number1194092171
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedNovember 19, 2011
Last updated in NPPESJuly 10, 2012