Kenneth Lisicki, PTA
NPI 1548352941 · Physical Therapy Assistant · Orange Park, FL
Kenneth Lisicki, PTA is a Physical Therapy Assistant provider in Orange Park, FL (NPI 1548352941).
Provider details
- NPI number
- 1548352941
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA9633 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Lisicki's NPI number?
- Kenneth Lisicki's National Provider Identifier (NPI) is 1548352941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Lisicki's specialty?
- Kenneth Lisicki is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kenneth Lisicki located?
- Kenneth Lisicki's practice location on file with NPPES is 540 Kingsley Ave, Orange Park, FL 32073-4847.
- What is Kenneth Lisicki's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Lisicki is (904) 264-2156.
- Is Kenneth Lisicki's NPI active?
- Yes — Kenneth Lisicki's NPI (1548352941) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.