Active NPI
Dorothy Gay Pana-Lacson, P.T.
- Physical Therapist
- Flushing, NY
National Provider Identifier
1710178363
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029224
- Practice address
- 142-26 37TH Ave.
#C
Flushing, NY 11358 - Phone
- (718) 359-6600
- NPI assigned
- Aug 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029224 | NY | Primary |
Addresses
Primary practice location
142-26 37TH Ave.
#C
Flushing, NY 11358
Mailing address
8731 57TH Rd
Floor 1
Elmhurst, NY 11373-4856
Phone (646) 769-0675
Other names 1
- Dorothy Gay Pana-Lacson
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029224 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1710178363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8731 57TH RD",
"address_2": "FLOOR 1",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734856",
"telephone_number": "646-769-0675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142-26 37TH AVE.",
"address_2": "#C",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11358",
"telephone_number": "718-359-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANA-LACSON",
"first_name": "DOROTHY GAY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOROTHY GAY",
"last_name": "PANA-LACSON",
"credential": "P.T.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.