Active NPI
Orlin Lazarov
- Physical Therapist
- Santa Fe, NM
National Provider Identifier
1710161427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3653
- Practice address
- 1854 Otowi Dr
Santa Fe, NM 87505-3301 - Phone
- (813) 335-7163
- NPI assigned
- Dec 18, 2007
- Sex
- Male
- 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 | 3653 | NM | Primary |
Addresses
Primary practice location
1854 Otowi Dr
Santa Fe, NM 87505-3301
Mailing address
PO Box 47311
Tampa, FL 33646-0137
Phone (813) 335-7163
Other practice location 1
700 Colorado Blvd
#318
Denver, CO 80206-4084
Phone (866) 801-9492
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 |
|---|---|---|---|
| 3653 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1710161427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47311",
"city": "TAMPA",
"state": "FL",
"postal_code": "336460137",
"telephone_number": "813-335-7163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1854 OTOWI DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053301",
"telephone_number": "813-335-7163"
}
],
"practiceLocations": [
{
"address_1": "700 Colorado Blvd",
"address_2": "#318",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802064084",
"country_code": "US",
"telephone_number": "866-801-9492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAZAROV",
"first_name": "ORLIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.