Active NPI
Lauren L Mazzei, M.P.T.
- Physical Therapist
- Jeannette, PA
National Provider Identifier
1174586572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013797L
- Practice address
- 1 Dolly Ave
Unit B-2
Jeannette, PA 15644-1042 - Phone
- (724) 527-3999
- Fax
- (724) 527-3320
- NPI assigned
- Apr 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013797L | PA | Primary |
Addresses
Primary practice location
1 Dolly Ave
Unit B-2
Jeannette, PA 15644-1042
Mailing address
520 Pellis Rd
Suite 3000
Greensburg, PA 15601-4777
Phone (724) 850-7587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018946040002 | Medicaid | PA |
Other names 1
- E Lauren Logan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013797L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Group Acquisition LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Greensburg, PA
- NPI 1780614453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1174586572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 PELLIS RD",
"address_2": "SUITE 3000",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156014777",
"telephone_number": "724-850-7587",
"fax_number": "724-850-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DOLLY AVE",
"address_2": "UNIT B-2",
"city": "JEANNETTE",
"state": "PA",
"postal_code": "156441042",
"telephone_number": "724-527-3999",
"fax_number": "724-527-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZEI",
"first_name": "LAUREN",
"middle_name": "L",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-08",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013797L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018946040002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "E",
"last_name": "LOGAN",
"middle_name": "LAUREN",
"credential": "M.P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jeannette, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.