Active NPI
Christopher Lacsamana, ATC
- Athletic Trainer
- Montgomery, AL
National Provider Identifier
1710018692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003462
- Practice address
- 6041 Brindley Dr
Montgomery, AL 36117-1302 - Phone
- (334) 277-4125
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003462 | OH | Primary |
Addresses
Primary practice location
6041 Brindley Dr
Montgomery, AL 36117-1302
Mailing address
2000 Prospect Ave
Wolstein Athletic Training Room
Cleveland, OH 44115-2214
Phone (216) 687-5287
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 |
|---|---|---|---|
| 003462 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1710018692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PROSPECT AVE",
"address_2": "WOLSTEIN ATHLETIC TRAINING ROOM",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152214",
"telephone_number": "216-687-5287",
"fax_number": "216-687-9345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6041 BRINDLEY DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361171302",
"telephone_number": "334-277-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACSAMANA",
"first_name": "CHRISTOPHER",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "003462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.