Active NPI
Vanessa Marie Macashet Lagera, P.T.
- Physical Therapist
- Clinton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305006484
- Practice address
- 8926 Woodyard Road
Suite 701
Clinton, MD 20735 - Phone
- (301) 856-1682
- Fax
- (301) 856-0964
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT870236 | DC | |
| Physical Therapist | 225100000X | 2305006484 | VA | Primary |
| Physical Therapist | 225100000X | PT14177 | FL |
Addresses
Primary practice location
8926 Woodyard Road
Suite 701
Clinton, MD 20735
Mailing address
8926 Woodyard Road
Suite 701
Clinton, MD 20735
Phone (301) 856-1682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4695 0023 | Other | DC | BCBS NCA PROVIDER# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
12255 Fair Lakes Pkwy
Fairfax, VA 22033-3952
Phone (703) 237-4800
8008 Westpark Dr
MC Lean, VA 22102-3109
Phone (703) 287-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT870236 | DC | MD | Physical Therapist |
| PT14177 | FL | MD | Physical Therapist |
| 2305006484 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Body Mechanix and Beyond LLC | Physical Therapist | Past | Accepting new patients |
Locations
4000 Garden City Dr
Hyattsville, MD 20785
Phone (240) 839-0489
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
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.
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
- Health Maintenance Organization
- MC Lean, VA
- NPI 1376815472
-
- Physical Therapist
- Annandale, VA
- NPI 1699396317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1548294812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8926 WOODYARD ROAD",
"address_2": "SUITE 701",
"city": "CLINTON",
"state": "MD",
"postal_code": "20735",
"telephone_number": "301-856-1682",
"fax_number": "301-856-0964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8926 WOODYARD ROAD",
"address_2": "SUITE 701",
"city": "CLINTON",
"state": "MD",
"postal_code": "20735",
"telephone_number": "301-856-1682",
"fax_number": "301-856-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGERA",
"first_name": "VANESSA",
"middle_name": "MARIE MACASHET",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT870236",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305006484",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT14177",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NCA PROVIDER#",
"identifier": "4695 0023",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.