Individual provider Active NPI

Matthew Lago, PT, DPT, ATC

  • Orthopedic Physical Therapist
  • East Northport, NY
National Provider Identifier
1780270215
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
046491-01 Issued in NY
Practice address
3072 Jericho Tpke
East Northport, NY 11731-6214
Phone
(631) 462-9595
NPI assigned
Dec 18, 2020
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210202002357 NY Practitioner - Physical Therapist in Private Practice 3678987617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as group
Quality
100
Improvement activities
40
Cost
81.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046491-01NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All-Star Physical Therapy,PC Orthopedic CurrentSince Jan 20, 2026 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.

Verify at the official NPI Registry.