Active NPI
Matthew Lago, PT, DPT, ATC
- Orthopedic Physical Therapist
- East Northport, NY
National Provider Identifier
1780270215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 046491-01
- Practice address
- 3072 Jericho Tpke
East Northport, NY 11731-6214 - Phone
- (631) 462-9595
- NPI assigned
- Dec 18, 2020
- Last updated
- Dec 21, 2020
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 046491-01 | NY | Primary |
Addresses
Primary practice location
3072 Jericho Tpke
East Northport, NY 11731-6214
Mailing address
3072 Jericho Tpke
East Northport, NY 11731-6214
Phone (631) 462-9595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.48 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 81.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046491-01 | NY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All-Star Physical Therapy,PC | Orthopedic | Current | Accepting new patients |
Locations
3839 Merrick Rd
Seaford, NY 11783
Phone (516) 802-2895
567 Jericho Tpke
Ste 202
Syosset, NY 11791
Phone (516) 364-6720
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1780270215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3072 JERICHO TPKE",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117316214",
"telephone_number": "631-462-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3072 JERICHO TPKE",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117316214",
"telephone_number": "631-462-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGO",
"first_name": "MATTHEW",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-18",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "046491-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.