Susan B Lasewicz, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6291 Issued in MA

Practice address

179 Main St
Sturbridge, MA 01566-1158

Phone

(508) 347-8141

Fax

(508) 347-7576

NPI assigned

Feb 10, 2006

Last updated

Jan 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quality Physical Therapy IncGroup PAC ID 7618994310, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Quality Physical Therapy, Inc.

  • Specialist
  • Sturbridge, MA
  • NPI 1225087133

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Quality Physical Therapy

  • Occupational Therapist
  • Sturbridge, MA
  • NPI 1720276249
  NPD

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1821061672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661158",
            "telephone_number": "508-347-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661158",
            "telephone_number": "508-347-8141",
            "fax_number": "508-347-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASEWICZ",
        "first_name": "SUSAN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "6291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0301281",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "45510",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "469806",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "Y66460",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randi Adele Krogstad, MSW
• Mikayla Kurtz, M.S., BCBA
• Nicholas Kenneth Lamura, DDS
• Jenna Maureen Larocque, O.D
• Larry a Johnson DDS PC
• Hannah Leahey, DMD
• Booker T Lester, MSW
• Alina Lillis, OTR
• Monica Lindsay, DPT
• Jessica Locke

• Physical Therapist in Sturbridge, MA
• Providers in Sturbridge, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.