Lazarus Classen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3149 Issued in OK

Practice address

3209 S Broadway Ste 105
Edmond, OK 73013-4063

Phone

(405) 546-4797

NPI assigned

Feb 10, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Precision Physical Therapy LLC

  • Physical Therapist
  • Harrah, OK
  • NPI 1578675070
  NPD (past)

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1124610118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730450746",
            "telephone_number": "405-454-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 S BROADWAY STE 105",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134063",
            "telephone_number": "405-546-4797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5002 S Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731503800",
            "country_code": "US",
            "telephone_number": "405-732-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19629 NE 23rd St",
            "address_purpose": "LOCATION",
            "city": "Harrah",
            "state": "OK",
            "postal_code": "730459305",
            "country_code": "US",
            "telephone_number": "405-454-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLASSEN",
        "first_name": "LAZARUS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Clark, LADC/MH CANDIDATE
• Randolph Lynn Clark, DDS
• Shelbey Dawn Clark
• Kathryn Ann Clarkson, ARNP
• Zachary K Clary, M.D.
• Tyler Steven Claunch, OD
• Whitney Nicole Claybrook
• Emily Clayton
• Morgan J Clayton, LPTA
• Clendenin MD LLC

• Physical Therapy Assistant in Edmond, OK
• Providers in Edmond, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.