Active NPI
Irene Mariano Lazcano, P.T.
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1710160809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024082-1
- Practice address
- 308 Neptune Ave
Brooklyn, NY 11235-6845 - Phone
- (718) 615-0800
- Fax
- (866) 419-7618
- NPI assigned
- Dec 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 024082-1 | NY | Primary |
Addresses
Primary practice location
308 Neptune Ave
Brooklyn, NY 11235-6845
Mailing address
5852 43Rd Ave
Woodside, NY 11377-4852
Phone (718) 305-2173
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
| License | State | Type | Specialty |
|---|---|---|---|
| 024082-1 | NY | MD | Physical Therapist |
| 024082 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lazcano Procare Inc | Past | Accepting new patients | |
| Priority One Therapy PT OT SLP PLLC | Past | Accepting new patients | |
| Outcome Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Early Intervention Provider Agency
- Woodside, NY
- NPI 1033599600
-
- Physical Therapist
- Bronx, NY
- NPI 1114208311
-
- Rehabilitation Practitioner
- Oceanside, NY
- NPI 1447517453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268352000000",
"number": "1710160809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5852 43RD AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774852",
"telephone_number": "718-305-2173",
"fax_number": "718-305-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 NEPTUNE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356845",
"telephone_number": "718-615-0800",
"fax_number": "866-419-7618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZCANO",
"first_name": "IRENE",
"middle_name": "MARIANO",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-11",
"last_updated": "2010-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "024082-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.