Individual provider Active NPI

Marci Lansing, D.P.T.

  • Physical Therapist
  • Charlton, NY
National Provider Identifier
1639614795
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11253 Issued in CT
Practice address
2015 Maple Ave
Charlton, NY 12019-2806
Phone
(518) 229-2876
NPI assigned
Dec 28, 2016
Sex
Female
Sole proprietor
Yes

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
040441NYMDEndodontist
11253CTMDPhysical Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11253 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

2015 Maple Ave
Charlton, NY 12019-2806

Mailing address

2015 Maple Ave
Charlton, NY 12019-2806
Phone (518) 229-2876

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2016.

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1639614795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MAPLE AVE",
            "city": "CHARLTON",
            "state": "NY",
            "postal_code": "120192806",
            "telephone_number": "518-229-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MAPLE AVE",
            "city": "CHARLTON",
            "state": "NY",
            "postal_code": "120192806",
            "telephone_number": "518-229-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSING",
        "first_name": "MARCI",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.