Nicole Lacek-Nguyen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 32112 Issued in FL

Practice address

2901 W Busch Blvd
Ste 910
Tampa, FL 33618-4573

Phone

(239) 948-3280

NPI assigned

Dec 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Concepts in Rehab Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fort Myers, FL
  • NPI 1558458273
  NPD (past)

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1699219907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W BUSCH BLVD",
            "address_2": "STE 910",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184573",
            "telephone_number": "407-644-4883",
            "fax_number": "407-644-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W BUSCH BLVD",
            "address_2": "STE 910",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184573",
            "telephone_number": "239-948-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEK-NGUYEN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 32112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Labrada, PT, DPT, PTA
• Natasha Labrooy
• Sonia Shahrzad Labrooy
• Labs Done at Home LLC
• Stephanie Irene Labutis, MSPT,OCS
• Erika Nicole Lacey, PA-C
• Carine Lachat
• Patrice L Lachat
• Marsha Lachaud, D.O
• Elizabeth Nicole Laches

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.