Organization Active NPI

Lazaro Physical Therapy, PLC

  • Physical Therapy Clinic/Center
  • Iowa City, IA
National Provider Identifier
1376222653
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LAZARO PHYSICAL THERAPY, PLC
Practice address
164 Colchester Dr
Iowa City, IA 52245-9346
Phone
(415) 724-5278
NPI assigned
Jul 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Dr. Edmer Lazaro, DPT, MSHCANPI 1073099321
Title
Physical Therapist/Owner
Phone
(415) 724-5278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

164 Colchester Dr
Iowa City, IA 52245-9346

Mailing address

164 Colchester Dr
Iowa City, IA 52245-9346
Phone (415) 724-5278

Other names 1

  • Lazaro Physical Therapy Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1376222653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 COLCHESTER DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459346",
            "telephone_number": "415-724-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 COLCHESTER DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459346",
            "telephone_number": "415-724-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZARO PHYSICAL THERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "LAZARO",
        "authorized_official_first_name": "EDMER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "415-724-5278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, MSHCA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lazaro Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.