Individual provider Active NPI

Rosemarie Lakawicz

  • Physical Therapist
  • Butler, NJ
National Provider Identifier
1225432255
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00373200 Issued in NJ
Practice address
297 Boonton Ave
Butler, NJ 07405-2018
Phone
(201) 248-1697
Fax
(973) 283-0422
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00373200 NJ Primary
Physical Therapist 225100000X 010356 NY

Addresses

Primary practice location

297 Boonton Ave
Butler, NJ 07405-2018

Mailing address

297 Boonton Ave
Butler, NJ 07405-2018
Phone (201) 248-1697

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA00373200NJMDPhysical Therapist
010356NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1225432255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 BOONTON AVE",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074052018",
            "telephone_number": "201-248-1697",
            "fax_number": "973-283-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 BOONTON AVE",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074052018",
            "telephone_number": "201-248-1697",
            "fax_number": "973-283-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKAWICZ",
        "first_name": "ROSEMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00373200",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.