National Provider Identifier
Lisa M Ellison, PT
Lisa M Ellison, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 581-0300.
Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1922047430
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- June 06, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1854 Stone Road
- Rochester, NY 14615
Phone: (585) 581-0300
Mailing Address
- 45 Rogers Drive
- Rochester, NY 14606-4403
Specialties
- Physical Therapist (225100000X)
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Full Record
- NPI
- 1922047430
- Entity Type
- Individual
- Last Name
- Ellison
- First Name
- Lisa
- Middle Name
- M
- Name Prefix
- Mrs.
- Credential
- PT
- Provider Other Last Name
- Botash
- Provider Other First Name
- Lisa
- Provider Other Middle Name
- M
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- PT
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 45 Rogers Drive
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-4403
- Mailing Country
- US
- Mailing Phone
- (585) 429-7551
- Mailing Fax
- (585) 429-7551
- Practice Street Address
- 1854 Stone Road
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615
- Practice Country
- US
- Practice Phone
- (585) 581-0300
- Practice Fax
- (585) 581-0365
- Enumeration Date
- June 06, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)