Organization Active NPI

Lavosky Physical Therapy & Consulting, LLC

  • Physical Therapist
  • Montclair, NJ
National Provider Identifier
1225266448
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00497700 Issued in NJ
Legal business name
LAVOSKY PHYSICAL THERAPY & CONSULTING, LLC
Practice address
42 Park St
Montclair, NJ 07042-3440
Phone
(973) 744-3555
NPI assigned
Jun 25, 2009
Last updated
Feb 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Dr. Thomas Lavosky, DPTNPI 1881795532
Title
Physical Therapist/President
Phone
(862) 926-9210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00497700 NJ Primary

Addresses

Primary practice location

42 Park St
Montclair, NJ 07042-3440

Mailing address

42 Park St
Montclair, NJ 07042-3440
Phone (973) 744-3555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100108000195 NJ Part B Supplier - Clinic/Group Practice 9739220096 Receives reassigned benefits from 1 practitioner
Practice locations: Montclair, NJ

National Provider Directory

National Provider Directory

Locations

42 Park St
Montclair, NJ 07042
Phone (201) 366-2300

427 Bloomfield Ave
Ste 406
Montclair, NJ 07042
Phone (973) 744-3555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1225266448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423440",
            "telephone_number": "973-744-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423440",
            "telephone_number": "973-744-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVOSKY PHYSICAL THERAPY & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "LAVOSKY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "862-926-9210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00497700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.