Active NPI
Christina Victoria Tokics Lacek, PT, DPT
- Physical Therapist
- Eustis, FL
National Provider Identifier
1598193427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 28522
- Practice address
- 437 West Ardice Ave
Suite 481
Eustis, FL 32726 - Phone
- (352) 516-0724
- Fax
- (352) 771-2527
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 28522 | FL | Primary |
Addresses
Primary practice location
437 West Ardice Ave
Suite 481
Eustis, FL 32726
Mailing address
17405 Lakeview CT
Umatilla, FL 32784-8379
Phone (352) 516-0724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009954000 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 28522 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1598193427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17405 LAKEVIEW CT",
"city": "UMATILLA",
"state": "FL",
"postal_code": "327848379",
"telephone_number": "352-516-0724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 WEST ARDICE AVE",
"address_2": "SUITE 481",
"city": "EUSTIS",
"state": "FL",
"postal_code": "32726",
"telephone_number": "352-516-0724",
"fax_number": "352-771-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACEK",
"first_name": "CHRISTINA",
"middle_name": "VICTORIA TOKICS",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2022-06-09",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 28522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009954000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eustis, FL
- Patricia A Kronk, A.R.N.P.
- Kelly Ann Krueger, APRN
- Marlena Kuftic
- Paige Nicole Kwasigroch, CCC-SLP
- Kyr Tender Care LLC
- Tanya Jean Lafrinere
- Marie Laguerre Small, SLPA
- Lake County Primary Medical Care LLC
- Lake County Spine and Injury
- Lake Eustis Operating Investments LLC (Bedrock Rehabilitation and Nursing Center at Lake Eustis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.