Donna Lanza Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14510 Issued in NY

Legal business name

DONNA LANZA PHYSICAL THERAPY PC

Practice address

691 Route 25a
BLDG 15
Miller Place, NY 11764-2643

Phone

(631) 332-1779

Fax

(631) 982-5650

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Donna Lanza, PT

Title

Owner

Phone

(631) 332-1779

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1033426218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 ROUTE 25A",
            "address_2": "BLDG 15",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642643",
            "telephone_number": "631-332-1779",
            "fax_number": "631-982-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 ROUTE 25A",
            "address_2": "BLDG 15",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642643",
            "telephone_number": "631-332-1779",
            "fax_number": "631-982-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA LANZA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "LANZA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-332-1779",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "14510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "Q15341",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.