Eric John Lackey

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305202624 Issued in VA

Practice address

2140 Franklin Tpke
Danville, VA 24540-5264

Phone

(434) 836-0239

Fax

(434) 836-0250

NPI assigned

Aug 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Pediatric Therapies, Inc.

  • Pediatric Occupational Therapist
  • Danville, VA
  • NPI 1578524278
  NPD (past)
• Danville Orthopedic and Athletic Rehabilitation, Inc.

  • Physical Therapist
  • Danville, VA
  • NPI 1881655298
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912015066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 FRANKLIN TPKE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405264",
            "telephone_number": "434-836-0239",
            "fax_number": "434-836-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 FRANKLIN TPKE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405264",
            "telephone_number": "434-836-0239",
            "fax_number": "434-836-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L M Management Services, Inc.
• L&G Support and Resources Co.
• L&M Management Services, Inc.
• Laboratory Corporation of America Holdings
• Laboratory Solutions
• Lafrasha Enterprises Inc.
• Tobias Everett Lagrone, D.MIN., LCAS, PAST.C
• Gary Robert Lahti, D.O.
• Stacy L Lahti, D.O.
• Neil Joseph Lahurd Jr., DO

• Physical Therapist in Danville, VA
• Providers in Danville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.