Individual provider Active NPI

Marina Lascarides, DPT

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1396089116
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035056 Issued in NY
Practice address
3063 38TH St Ste B
Astoria, NY 11103-4173
Phone
(718) 932-1269
Fax
(718) 932-0198
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 035056 NY Primary

Addresses

Primary practice location

3063 38TH St Ste B
Astoria, NY 11103-4173

Mailing address

3063 38TH St Ste B
Astoria, NY 11103-4173
Phone (718) 932-1269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131118000010 NY Practitioner - Physical Therapist in Private Practice 7719113984 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035056NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Physical Therapy & Wellness LLC Specialist CurrentSince Dec 12, 2017 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
One on One Physical Therapy Services PLLC Physical Therapist PastSince Jul 17, 2023 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

2555 Hempstead Tpke
Ste 1
East Meadow, NY 11554
Phone (516) 418-2324

2088 Front St
East Meadow, NY 11554
Phone (516) 222-2455

820 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 216-5230

650 Wantagh Ave
Ste 2
Levittown, NY 11756
Phone (516) 520-7200

1800 Walt Whitman Rd
Ste 120
Melville, NY 11747
Phone (631) 267-5130

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1396089116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 38TH ST STE B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034173",
            "telephone_number": "718-932-1269",
            "fax_number": "718-932-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 38TH ST STE B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034173",
            "telephone_number": "718-932-1269",
            "fax_number": "718-932-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASCARIDES",
        "first_name": "MARINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.