NPIMap

Organization Active NPI

Wilmer Lacson Rehab Services,Inc.

  • Physical Therapy Clinic/Center
  • Yonkers, NY
National Provider Identifier
1720436769
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0157731 Issued in NY
Legal business name
WILMER LACSON REHAB SERVICES,INC.
Practice address
66 Crisfield St
Unit 1Q
Yonkers, NY 10710-1243
Phone
(917) 484-1465
NPI assigned
Jun 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Mr. Wilmer Avancy LacsonNPI 1477881365
Title
President/Owner
Phone
(917) 484-1465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0157731 NY Primary

Addresses

Primary practice location

66 Crisfield St
Unit 1Q
Yonkers, NY 10710-1243

Mailing address

315 E 108TH St
Apt 2C
New York, NY 10029-4245
Phone (917) 484-1465

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1720436769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 108TH ST",
            "address_2": "APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294245",
            "telephone_number": "917-484-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CRISFIELD ST",
            "address_2": "UNIT 1Q",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107101243",
            "telephone_number": "917-484-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMER LACSON REHAB SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "LACSON",
        "authorized_official_first_name": "WILMER",
        "authorized_official_middle_name": "AVANCY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "917-484-1465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0157731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.