Provider Demographics
NPI:1215921119
Name:SITTS, LORI J (PT)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:J
Last Name:SITTS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3995B ONEIDA ST
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-9706
Mailing Address - Country:US
Mailing Address - Phone:315-737-1414
Mailing Address - Fax:315-737-1440
Practice Address - Street 1:3995B ONEIDA ST
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-9706
Practice Address - Country:US
Practice Address - Phone:315-737-1414
Practice Address - Fax:315-737-1440
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0112601225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP19709Medicare UPIN