Michael Lagonera, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A3048 Issued in MD

Practice address

6300 Woodside CT
Central Maryland Rehab Center
Columbia, MD 21046-1098

Phone

(410) 312-9000

Fax

(410) 312-9001

NPI assigned

Apr 3, 2007

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

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1235250317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WOODSIDE CT",
            "address_2": "CENTRAL MARYLAND REHAB CENTER",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461098",
            "telephone_number": "410-312-9000",
            "fax_number": "410-312-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WOODSIDE CT",
            "address_2": "CENTRAL MARYLAND REHAB CENTER",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461098",
            "telephone_number": "410-312-9000",
            "fax_number": "410-312-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGONERA",
        "first_name": "MICHAEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A3048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Lacivita, CRNA
• Monica Shanaee Lacks
• Timothy Jerome Lacy, M.D.
• Everette Darr Lafon Jr., M.D.
• Tara Lafrance
• Kathryn Stanko Lagow, LCPC
• Laudelina Lahom, M.D.
• Kelsey Laich
• Harry Liam Laing
• Kathryn Grace Laing

• Physical Therapy Assistant in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.