Active NPI
Albert F Lazo, PT
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1245347178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10363
- Practice address
- 17233 N Holmes Blvd
Suite 1650
Phoenix, AZ 85053-2018 - Phone
- (602) 547-1836
- Fax
- (602) 547-0809
- NPI assigned
- Aug 24, 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 | 10363 | AZ | Primary |
Addresses
Primary practice location
17233 N Holmes Blvd
Suite 1650
Phoenix, AZ 85053-2018
Mailing address
9052 W Quail Track Dr
Peoria, AZ 85383-3750
Phone (480) 221-7423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331744 | Medicaid | AZ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| Strength Training Inc | Past | Accepting new patients |
Organizations & group practices 2
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 Therapy Clinic/Center
- Payson, AZ
- NPI 1497222632
-
- Customized Equipment (DME)
- Phoenix, AZ
- NPI 1356552996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1245347178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9052 W QUAIL TRACK DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853833750",
"telephone_number": "480-221-7423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17233 N HOLMES BLVD",
"address_2": "SUITE 1650",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850532018",
"telephone_number": "602-547-1836",
"fax_number": "602-547-0809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZO",
"first_name": "ALBERT",
"middle_name": "F",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "331744",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.