Annaciela Lazaro, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30515 Issued in NY

Practice address

5451 82ND St FL 1
Elmhurst, NY 11373-4719

Phone

(347) 475-6978

NPI assigned

Jun 27, 2012

Last updated

Jun 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Progressive Rehab and Home Care PT & OT, PLLC

  • Occupational Therapist
  • Long Island City, NY
  • NPI 1093084634
  Medicare reassignment

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1457615171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 82ND ST FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734719",
            "telephone_number": "347-475-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 82ND ST FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734719",
            "telephone_number": "347-475-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARO",
        "first_name": "ANNACIELA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "30515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lavida Pharmacy Inc.
• Joana Laiwah Law, LCSW
• Charles W. Lawrence, M.D.
• Tanisha S Lawrence, LMSW
• Erica Layliev
• Natalia Vanessa Lazarte Castillo
• Lyann Le, PA
• Tiffany Leak
• Benjamin Yiu Lee, PHARM.D
• Deon Lee

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.