Lazy Dog Therapeutics P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070007245 Issued in IL

Legal business name

LAZY DOG THERAPEUTICS P.C.

Practice address

5428 Williams Dr
Roscoe, IL 61073-7318

Phone

(815) 703-3384

NPI assigned

Dec 7, 2010

Last updated

Dec 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Michelle Bixby, P.T.NPI 1043303324

Title

President/Physical Therapist

Phone

(815) 703-3394

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Michelle Bixby, P.T.

  • Physical Therapist
  • Rockton, IL
  • NPI 1043303324
  Authorized official Same address or phone

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1528361961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737318",
            "telephone_number": "815-703-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737318",
            "telephone_number": "815-703-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZY DOG THERAPEUTICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "BIXBY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "815-703-3394",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lakis, MS, NCC, CADC, LCPC
• Jessica Lee Lane, MS-MFT, ALMFT
• Joanne M Langley, PHD
• Andrew Larson III, PT
• Keaton Lawson Wolf
• Erin Hope Lee, RDN
• Katelyn Lewis
• Life Balance Medical Center
• Lifestyle Chiropractic Group LLC
• Lifestyle Chiropractic Wellness, Inc

• Physical Therapist in Roscoe, IL
• Providers in Roscoe, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.