Organization Active NPI

Lazor & Benlock Physical Therapy and Sports Medicine, Inc.

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1851460083
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LAZOR & BENLOCK PHYSICAL THERAPY AND SPORTS MEDICINE, INC.
Practice address
110 Fort Couch Rd
Pittsburgh, PA 15241-1030
Phone
(412) 835-2626
Fax
(412) 835-2526
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Jennifer Bonidie
Title
Office Manage
Phone
(412) 835-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

110 Fort Couch Rd
Pittsburgh, PA 15241-1030

Mailing address

110 Fort Couch Rd
Pittsburgh, PA 15241-1030
Phone (412) 835-2626

Other identifiers 2

IdentifierTypeStateIssuer
239906OtherPAHEALTH AMERICA
1620886OtherPABCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1851460083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FORT COUCH RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411030",
            "telephone_number": "412-835-2626",
            "fax_number": "412-835-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FORT COUCH RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411030",
            "telephone_number": "412-835-2626",
            "fax_number": "412-835-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZOR & BENLOCK PHYSICAL THERAPY AND SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "BONIDIE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGE",
        "authorized_official_telephone_number": "412-835-2626"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "239906",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1620886",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.