Active NPI
Hazel Lucanas Tapic
- Physical Therapist
- Valley Stream, NY
National Provider Identifier
1881839447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018045
- Practice address
- 54 W Merrick Rd
Valley Stream, NY 11580-5719 - Phone
- (805) 765-7501
- NPI assigned
- Dec 11, 2008
- Sex
- Female
- 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 | PT018045 | PA | Primary |
Addresses
Primary practice location
54 W Merrick Rd
Valley Stream, NY 11580-5719
Mailing address
5115 Manilla St
3Rd Floor
Elmhurst, NY 11373-4150
Phone (805) 765-7501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018045 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1881839447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 MANILLA ST",
"address_2": "3RD FLOOR",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734150",
"telephone_number": "805-765-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 W MERRICK RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805719",
"telephone_number": "805-765-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPIC",
"first_name": "HAZEL",
"middle_name": "LUCANAS",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-11",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.