Mikaela Adriano Lagman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

048301-01 Issued in NY

Practice address

98120 Queens Blvd Ste 1LM
Rego Park, NY 11374-4357

Phone

(718) 897-3333

Fax

(718) 997-0342

NPI assigned

Sep 26, 2022

Reactivated

Apr 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Physical Care PT PC

  • Physical Medicine & Rehabilitation Physician
  • Richmond Hill, NY
  • NPI 1295449049

  Physical Therapist

  NPD (past)
• Robert Malakov Physician, P.C

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1427321025
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1043933880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98120 QUEENS BLVD STE 1LM",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744357",
            "telephone_number": "718-897-3333",
            "fax_number": "718-997-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98120 QUEENS BLVD STE 1LM",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744357",
            "telephone_number": "718-897-3333",
            "fax_number": "718-997-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGMAN",
        "first_name": "MIKAELA",
        "middle_name": "ADRIANO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "deactivation_date": "2023-05-01",
        "reactivation_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048301-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L & G Enterprises USA LLC
• Geri Lydia Lacks, LCSW
• Michelle Lacoppola, LCSW
• Lorina Ladrillono, CLC
• John C Laffan
• Erica Lai, MD
• Claudette Lajam, M.D.
• Christopher Nigel Lake, M.S. ED
• Milanna Lakhchakova
• Yelena Lakhchakova, PA

• Physical Therapist in Rego Park, NY
• Providers in Rego Park, 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 Apr 21, 2024; 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.