Steven R Lazicki, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005944L Issued in PA

Practice address

West End Pysical Therapy
Route 209
Kresgeville, PA 18333

Phone

(610) 681-3637

Fax

(610) 681-6344

NPI assigned

Dec 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

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.

• West End Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Kresegeville, PA
  • NPI 1346303302

  Physical Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326101387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROUTE 209",
            "address_2": "PO BOX 1020",
            "city": "KRESGEVILLE",
            "state": "PA",
            "postal_code": "18333",
            "telephone_number": "610-681-3637",
            "fax_number": "610-681-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST END PYSICAL THERAPY",
            "address_2": "ROUTE 209",
            "city": "KRESGEVILLE",
            "state": "PA",
            "postal_code": "18333",
            "telephone_number": "610-681-3637",
            "fax_number": "610-681-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZICKI",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005944L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Bemis
• Sharon A George, PT
• Heather Helen Graham, DPT
• Dalina C Lehman
• Tammy Lynn Lobach, CRNP
• Christopher Ryan Mathisen
• Johanna Lu Matsko
• Thomas Edward Munshower, D.O.

• Physical Therapist in Kresgeville, PA
• Providers in Kresgeville, PA by specialty
• Physical Therapist in Pennsylvania

• 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.

Verify at the official NPI Registry.