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

Lisa M Cerutti, PT

Individual provider Physical Therapist · NPI 1124264643

Lisa M Cerutti, PT is a Physical Therapist in Private Practice in Johnson City, New York. Qualified in 1999, 27 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2009
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

765 Harry L Dr
Johnson City, NY 13790
Phone: (607) 238-1552
Fax: (607) 217-7294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 103 Hayes Ave, Endicott, NY 13760-3102 — (607) 757-9703

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0202841 (NY)

Record details

NPI number1124264643
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 6, 2009
Last updated in NPPESJuly 5, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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