Courtney Lazzo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1105493 Issued in KS

Practice address

2081 N Webb Rd
Suite B
Wichita, KS 67206-3402

Phone

(316) 260-8239

Fax

(316) 462-5767

NPI assigned

Mar 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Physical Therapy LLC

  dba Physical Therapy by Phoenix

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1487287082
  Medicare reassignment NPD
• Lazzo PT

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1699618918
  NPD Authorized official
• Summit Chiropractic

  • Chiropractor
  • Wichita, KS
  • NPI 1316722382
  NPD (past)

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1336415215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 N BEDFORD CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672064353",
            "telephone_number": "402-230-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 N WEBB RD",
            "address_2": "SUITE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063402",
            "telephone_number": "316-260-8239",
            "fax_number": "316-462-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZO",
        "first_name": "COURTNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02250",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1105493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kele Morrey Laymon
• Layne M Reusser MD PA
• Tammy Layton
• Sarah Ashlynn Lazar, LPC
• Lazzo PT
• Michaela Lazzo, LPC
• LC Wellness LLC
• LCD Unlimited, Inc (Caring Hearts for Senior Living)
• Andrew Le
• Andy Minh Le, DO

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.