Emily Marie Lacey, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE012970 Issued in PA

Practice address

4627 Route 51
Suite 440
Rostraver, PA 15012

Phone

(724) 379-8187

Fax

(724) 379-5751

NPI assigned

Sep 21, 2023

Last updated

Sep 21, 2023By the provider in NPPES

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Network, LLC

  dba UPMC Rehabilitation Institute

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1871551028

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1306624119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 ROUTE 51",
            "address_2": "SUITE 440",
            "city": "ROSTRAVER",
            "state": "PA",
            "postal_code": "15012",
            "telephone_number": "724-379-8187",
            "fax_number": "724-379-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 ROUTE 51",
            "address_2": "SUITE 440",
            "city": "ROSTRAVER",
            "state": "PA",
            "postal_code": "15012",
            "telephone_number": "724-379-8187",
            "fax_number": "724-379-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE012970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Marchewka Pharmd (Mon Valley Pharmacy and Compounding)

• Physical Therapy Assistant in Rostraver, PA
• Providers in Rostraver, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.