Individual provider Active NPI

Malgorzata Ewa Lasiuk, PTA

  • Physical Therapy Assistant
  • Belchertown, MA
National Provider Identifier
1629640842
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
7840 Issued in MA
Practice address
412 Michael Sears Rd
Belchertown, MA 01007-9218
Phone
(413) 348-2454
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 7840 MA Primary

Addresses

Primary practice location

412 Michael Sears Rd
Belchertown, MA 01007-9218

Mailing address

412 Michael Sears Rd
Belchertown, MA 01007-9218
Phone (413) 348-2454

Other names 1

  • Mrs. Malgorzata Ewa Lasiuk Professional name

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

LicenseStateTypeSpecialty
7840MAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1629640842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MICHAEL SEARS RD",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079218",
            "telephone_number": "413-348-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MICHAEL SEARS RD",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079218",
            "telephone_number": "413-348-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASIUK",
        "first_name": "MALGORZATA",
        "middle_name": "EWA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "7840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALGORZATA",
            "last_name": "LASIUK",
            "middle_name": "EWA",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Belchertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.