Christian Shayne Largo Lacson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041602 Issued in NY

Practice address

9218 165TH St
Jamaica, NY 11433-1104

Phone

(718) 725-0044

Fax

(718) 725-0880

NPI assigned

Nov 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nys Medical Care, P.C.

  • Rehabilitation Clinic/Center
  • Jamaica, NY
  • NPI 1366105868
  NPD

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255977856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 CORNISH AVE APT 4K",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733710",
            "telephone_number": "662-230-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9218 165TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331104",
            "telephone_number": "718-725-0044",
            "fax_number": "718-725-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACSON",
        "first_name": "CHRISTIAN SHAYNE",
        "middle_name": "LARGO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Greenbills",
            "affiliation": "Y",
            "affiliationName": "Citimedical I PLLC",
            "address_1": "6336 99th St",
            "city": "Rego Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113741941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sherley Labossiere
• Shiela May Lachica Lachica, NP
• Miriam Ruth Lachina, NP
• Peralta Lacombe
• Charleane Chantell Lacroix, CNM
• Nicole Lacy, RN
• Musbau Y Ladipo, DIPLOMA NURSING
• Victoire Lafleur
• Katia Marie Lafond
• Mona Lafontant, RN

• Physical Therapist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.