Robert Dave Lazarine, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH7570 Issued in AL

Practice address

30941 Mill LN
Spanish Fort, AL 36527-5456

Phone

(251) 625-2170

Fax

(251) 625-2172

NPI assigned

Mar 7, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moreau Physical Therapy Inc.Group PAC ID 3173419298, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moreau Physical Therapy Inc.

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1770568669

  LA

  Medicare reassignment Care Compare group
• Acadian Physical Therapy Services, LLC

  • Physical Therapist
  • Lafayette, LA
  • NPI 1043676554

  LA, Physical Therapist

  Medicare reassignment NPD
• Louisiana Physical Therapy Services of Lafayette LLC

  • Physical Therapist
  • Lafayette, LA
  • NPI 1316614217

  LA, Physical Therapist

  Medicare reassignment NPD
• Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1750566071
  Care Compare group NPD (past)
• Encore Rehabiliation Inc

  • Physical Therapy Clinic/Center
  • Moulton, AL
  • NPI 1700912052
  NPD (past)
• Encore Rehabiliation Inc

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1841325891
  NPD (past)
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Theodore, AL
  • NPI 1043346380
  NPD (past)
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Muscle Shoals, AL
  • NPI 1063548345
  NPD (past)
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Birmingham, AL
  • NPI 1063881464
  NPD (past)
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Gulf Shores, AL
  • NPI 1073648036
  NPD (past)
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Somerville, AL
  • NPI 1174997514
  NPD (past)
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Orange Beach, AL
  • NPI 1316073679
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1013258508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-340-9708",
            "fax_number": "256-340-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30941 MILL LN",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275456",
            "telephone_number": "251-625-2170",
            "fax_number": "251-625-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARINE",
        "first_name": "ROBERT",
        "middle_name": "DAVE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-07",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maggie Knight, MSN, CRNP, PMHNP-BC
• KRK Inc
• Kendra Leeann Laconsay, PSYD
• Kelly Cay Lambeth, ARNP
• Ryan M Lawrence, D.C.
• Savannah Diane Lee, PHARMD
• Legacy Specialty Pharmacy LLC
• Let'S Play Therapy Center
• Live Well Alabama, LLC
• Tunisia London, LICSW-S, PIP

• All providers in Spanish Fort, AL
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.