Individual provider · Type 1 NPI

Lisa Osterbrock, PA-C, ATC

Medical Physician Assistant · Highland Heights, KY

NPI number 1265762082 Active

Practice location

2626 Alexandria Pike Ste 100
Highland Heights, KY 41076-1530

Call (859) 301-2663 Map

Fax (859) 817-7845

Mailing address

560 S Loop Rd
Edgewood, KY 41017-3405

Other practice locations

  • 8726 US 42, Florence, KY 41042-9625 · (859) 301-2663

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X50.004115 (OH)
Medical Physician Assistant 363AM0700X50.004115 (OH)
Athletic Trainer 2255A2300X972 (KY)
Athletic Trainer 2255A2300X002745 (OH)
Physician Assistant 363A00000X50.004115 (OH)
Medical Physician Assistant Primary 363AM0700XPA2049 (KY)

Medical Physician Assistant: Definition to come...

20 other providers at this address

About NPI 1265762082

Lisa Osterbrock, PA-C, ATC's National Provider Identifier is 1265762082, issued on Dec 29, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Highland Heights, KY. The record was last updated on Oct 14, 2026.