Jacek Lasko, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070007531 Issued in IL

Practice address

154 S Bloomingdale Rd
Ste 103
Bloomingdale, IL 60108-1498

Phone

(630) 307-2004

NPI assigned

Sep 23, 2008

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)

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 and National Provider Directory roles.

• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Bloomingdale, IL
  • NPI 1023146818
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1346490661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SENECA TRL",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082429",
            "telephone_number": "630-307-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 S BLOOMINGDALE RD",
            "address_2": "STE 103",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081498",
            "telephone_number": "630-307-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKO",
        "first_name": "JACEK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babitha Kuriakose
• L. Humberstone D.C., SC
• Michael S Lang, M.A, LCPC, CSAT
• Pamela J Lanuza, PHARM.D.
• Grace Ann Larkin
• Sabaahath Noor Latifi, LCPC
• Sakeenah G Latifi, PA-C
• Pamela G Lawson, LCSW, ACSW,BCD
• Phuoc Le
• Lead the Way Therapy

• Physical Therapist in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.