Individual provider Active NPI

Michelle M Lazarski, PT

  • Physical Therapist
  • Willow Grove, PA
National Provider Identifier
1396714580
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT001523E Issued in PA
Practice address
1003 Easton Rd
105 Chateau
Willow Grove, PA 19090-2027
Phone
(215) 659-7759
Fax
(215) 659-6658
NPI assigned
Mar 17, 2006
Last updated
Feb 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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 PT001523E PA Primary

Addresses

Primary practice location

1003 Easton Rd
105 Chateau
Willow Grove, PA 19090-2027

Mailing address

1003 Easton Rd
105 Chateau
Willow Grove, PA 19090-2027
Phone (215) 659-7759

Other identifiers 1

IdentifierTypeStateIssuer
2227536000OtherPABCBS PC KS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Webb Schoenewald, PT Inc Physical Therapist PastSince Mar 1, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1396714580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 EASTON RD",
            "address_2": "105 CHATEAU",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902027",
            "telephone_number": "215-659-7759",
            "fax_number": "215-659-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 EASTON RD",
            "address_2": "105 CHATEAU",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902027",
            "telephone_number": "215-659-7759",
            "fax_number": "215-659-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARSKI",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT001523E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PC KS",
            "identifier": "2227536000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.