Michelle Olvido Lascano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT41120 Issued in FL

Practice address

1206 Court St
Clearwater, FL 33756-5802

Phone

(727) 286-8408

Fax

(727) 286-6048

NPI assigned

Apr 2, 2024

Last updated

Apr 2, 2024By the provider in NPPES

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• PT KR LLC

  • Physical Therapist
  • Largo, FL
  • NPI 1194300640
  Medicare reassignment NPD

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1114779329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 E BAY DR APT 1423",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711943",
            "telephone_number": "727-492-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 COURT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565802",
            "telephone_number": "727-286-8408",
            "fax_number": "727-286-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASCANO",
        "first_name": "MICHELLE",
        "middle_name": "OLVIDO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Lee Larocco
• William Robert Larosa Jr., M.D.
• Larry D Canton DO PA
• Kim Ann Larsen, L.M.T.
• Haley Larson
• Megan L Lasseter Carman, MD
• Ashley Latibeaudiere
• Rebecca T Latraverse, PT, DPT
• Pamela Latson, RDN, LDN
• Celeste Lynn Latto, ARNP

• Physical Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.