MEDICARE: LISA M KILBANE M.P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT17235	FL

General Provider Information

NPI Number	:	1679614176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA M KILBANE M.P.T.

Provider Business Mailing Address
First Line	:	4732 W WYOMING AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33616-1069
Country	:	US
Telephone Number	:	813-837-1035
Fax Number	:

Provider Business Practice Location Address
First Line	:	4602 N ARMENIA AVE
Second Line	:	SUITE C
City	:	TAMPA
State	:	FL
Zip	:	33603-2626
Country	:	US
Telephone Number	:	813-870-0000
Fax Number	:	813-877-2006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1992727937 — TAMPA HEALTH CARE SUPPLIES
Practice Location Address:

4602 N ARMENIA AVE , SUITE D 2
TAMPA, FL
33603-2626

Practice Phone: 813-629-5642
Practice Fax:

1831205103 — LILIVETTE ROLLAND M.D.
Practice Location Address:

4602 N ARMENIA AVE , SUITE A 3
TAMPA, FL
33603-2626

Practice Phone: 813-873-1725
Practice Fax: 813-873-2924

1063550481 — TAMPA TRAUMA MEDICAL CENTER
Practice Location Address:

4602 N ARMENIA AVE , SUITE D1
TAMPA, FL
33603-2626

Practice Phone: 813-870-1900
Practice Fax: 813-870-1988

1417160193 — MRS. JENNIFER ZAGOREN WALTERS M.A., CCC,SLP
Practice Location Address:

4602 N ARMENIA AVE , SUITE C
TAMPA, FL
33603-2626

Practice Phone: 813-870-0000
Practice Fax:

1942410576 — DOCTORS REHAB CLINIC INC.
Practice Location Address:

4602 N ARMENIA AVE
TAMPA, FL
33603-2626

Practice Phone: 813-870-3990
Practice Fax:

1568641645 — MR. CHARLES PATRICK STACHOWIAK RPH, CRPH
Practice Location Address:

4602 N ARMENIA AVE
TAMPA, FL
33603-2626

Practice Phone: 813-877-9700
Practice Fax: 813-877-2300

Directions to “ LISA M KILBANE M.P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.