Individual provider Active NPI

Cherry C Lacsina, PT

  • Physical Therapy Clinic/Center
  • Roselle Park, NJ
National Provider Identifier
1043416050
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01241400 Issued in NJ
Practice address
236 E Westfield Ave
Roselle Park, NJ 07204-2084
Phone
(732) 376-1800
Fax
(732) 376-1804
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01241400 NJ Primary

Addresses

Primary practice location

236 E Westfield Ave
Roselle Park, NJ 07204-2084

Mailing address

72 Leber Ave
Carteret, NJ 07008-1941
Phone (908) 279-9280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107002207 NJ Practitioner - Physical Therapist in Private Practice 0749569143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strength Physical Therapy LLCGroup PAC ID 2567741960, 2 clinicians

Practice addresses (Care Compare)

236 E Westfield Ave
Suite 302
Roselle Park, NJ 07204-2084
Phone (908) 445-4524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strength Physical Therapy LLC Physical Therapy CurrentSince Oct 1, 2016 Accepting new patients

Locations

236 E Westfield Ave
Roselle Park, NJ 07204
Phone (908) 245-8222

236 E Westfield Ave
Ste 302
Roselle Park, NJ 07204
Phone (908) 445-4524

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1043416050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 LEBER AVE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081941",
            "telephone_number": "908-279-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 E WESTFIELD AVE",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042084",
            "telephone_number": "732-376-1800",
            "fax_number": "732-376-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACSINA",
        "first_name": "CHERRY",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01241400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.