Elizabeth Marie Lafave, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008961-1 Issued in NY

Practice address

1635 Ohio St
Watertown, NY 13601-3032

Phone

(315) 786-7285

Fax

(315) 786-7270

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Marie Goss Former name

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.

• Building Blocks SLP, OT & PT Family Services, PLLC

  • Early Intervention Provider Agency
  • Watertown, NY
  • NPI 1760635205
  NPD (past)

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1508010455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21638 REED RD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015048",
            "telephone_number": "315-786-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 OHIO ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013032",
            "telephone_number": "315-786-7285",
            "fax_number": "315-786-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFAVE",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "008961-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GOSS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacquelyn Suzanne Laclair, LPN
• Jennifer Blaze Laclair, FNP-C
• Cassandra Marie Ladd-Bashford, P.T.
• Daniel Ladouceur, NP
• Misty Dawn Laduc
• Jolene B Lafrance, NP
• John Samuel Laldin, M.D.
• Laurie Lalone
• Jackie Wing Kin Lam
• Katherine Abigail Howey Lamberti, PA-C

• Physical Therapist in Watertown, NY
• Providers in Watertown, 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 Apr 19, 2017; 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.