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Deactivated NPI 1194937599 Deactivated / Inactive NPI Female Practitioner

Lisa Eleanor Servatius , PTA

Physical Therapy Assistant • Maplewood, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Servatius has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 06, 2007
NPI Deactivation Date July 25, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Lisa Servatius, PTA was a registered Physical Therapy Assistant practicing in Maplewood, NJ. Throughout an active medical career spanning 11 years, Lisa Servatius provided care at the practice location at 333 ELMWOOD AVE until profile deactivation on 2018-07-25.

Practice Location & Contact Primary Location

Practice Address

333 Elmwood Ave

Maplewood, NJ 070402491

Telephone 9733132104
Fax 9737626207
Associated Practice Facility / Clinic
🏢 Marcus L. Ward Home Facility NPI 1063556629

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Maplewood, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Maplewood, NJ (1031 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License NJ QB00080500

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Linda Chin , PT

Physical Therapist

NPI 1073752093

Physical Therapist

Rondee Tan , PT

Physical Therapist

NPI 1144623380

Physical Therapist

Marijo Carino , RPT

Physical Therapist

NPI 1205042025

Registered Physical Therapist

Cheron Miller Roche , OT, L

Occupational Therapist

NPI 1316356918

Occupational Therapist, L

Joseph Dias , PTA

Physical Therapy Assistant

NPI 1538565114

Physical Therapist Assistant

Gina Dazos

Physical Therapy Assistant

NPI 1548686991

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 25, 2018

Record deactivated on July 25, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 333 ELMWOOD AVE, MAPLEWOOD, NJ 070402491 (Tel: 9733132104)

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Updated Business Mailing Address July 08, 2007

Registered at 75 LESSING RD, WEST ORANGE, NJ 070522605 (Tel: 9733253219)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LISA SERVATIUS, P.T.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physical Therapy Assistant (License #QB00080500 in NJ)

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Initial NPI Registration & Enumeration May 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194937599
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2007
Last Update: July 08, 2007
Deactivation Date: July 25, 2018

Mailing Address

75 Lessing Rd

West Orange, NJ 070522605

Phone: 9733253219

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.