Active NPI
Ana Lourdes P Lazarraga
- Physical Therapist
- Montesano, WA
National Provider Identifier
1629418819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60301158
- Practice address
- 800 N Medcalf LN
Montesano, WA 98563-1318 - Phone
- (360) 249-2273
- NPI assigned
- Jul 2, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60301158 | WA | Primary |
Addresses
Primary practice location
800 N Medcalf LN
Montesano, WA 98563-1318
Mailing address
800 N Medcalf LN
Montesano, WA 98563-1318
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 |
|---|---|---|---|
| PT60301158 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1629418819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N MEDCALF LN",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985631318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N MEDCALF LN",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985631318",
"telephone_number": "360-249-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARRAGA",
"first_name": "ANA LOURDES P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60301158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montesano, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.