Active NPI
Cris Dio Lavarez Talagsa
- Physical Therapist
- Locust Valley, NY
National Provider Identifier
1790468072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 050074-01
- Practice address
- 480 Forest Ave
Locust Valley, NY 11560-2151 - Phone
- (808) 271-7423
- NPI assigned
- Aug 11, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 050074-01 | NY | Primary |
Addresses
Primary practice location
480 Forest Ave
Locust Valley, NY 11560-2151
Mailing address
18 Timber Ridge Dr
Huntington, NY 11743-4898
Phone (808) 271-7423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18 Timber Ridge Dr
Huntington, NY 11743-4898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1790468072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 TIMBER RIDGE DR",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117434898",
"telephone_number": "808-271-7423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 FOREST AVE",
"city": "LOCUST VALLEY",
"state": "NY",
"postal_code": "115602151",
"telephone_number": "808-271-7423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALAGSA",
"first_name": "CRIS DIO",
"middle_name": "LAVAREZ",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-11",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "050074-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Locust Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.