Active NPI
Steven Matthew Laslovich, PT, CPED
- Physical Therapist
- Fresno, CA
National Provider Identifier
1235225665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9470
- Practice address
- 1189 E Herndon Ave Ste 106
Fresno, CA 93720-3167 - Phone
- (559) 436-8525
- Fax
- (559) 436-0731
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- 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 | 9470 | CA | Primary |
Addresses
Primary practice location
1189 E Herndon Ave Ste 106
Fresno, CA 93720-3167
Mailing address
1189 E Herndon Ave Ste 106
Fresno, CA 93720-3167
Phone (559) 436-8525
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 |
|---|---|---|---|
| 94700 | CA | MD | Marriage & Family Therapist |
| 9470 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235225665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1189 E HERNDON AVE STE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203167",
"telephone_number": "559-436-8525",
"fax_number": "559-436-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1189 E HERNDON AVE STE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203167",
"telephone_number": "559-436-8525",
"fax_number": "559-436-0731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASLOVICH",
"first_name": "STEVEN",
"middle_name": "MATTHEW",
"credential": "PT, CPED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "9470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.