Tammy Louise Lagasse, P.T.A., L.M.T

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA15835 Issued in FL

Practice address

4075 A1A S
Suite 105
St Augustine, FL 32080-6773

Phone

(904) 471-2999

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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 and National Provider Directory roles.

• Genesis Bodywork LLC

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1457485344
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1932233848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 A1A S",
            "address_2": "SUITE 105",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806773",
            "telephone_number": "904-471-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 A1A S",
            "address_2": "SUITE 105",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806773",
            "telephone_number": "904-471-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGASSE",
        "first_name": "TAMMY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "P.T.A., L.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA15835",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA39295",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM16788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura Lacey, BA
• Erica Jane Lachance, PHARM.D.
• Amanda Lachappelle, MS
• Simeon De'Ja B. Ladd, M.S., SLP
• Alice P Laflamme, OD
• John Demetrios Lagoutaris, D.P.M.
• Katelyn Lally
• Karen E. Laman
• Benjamin Lambert, LMT
• Natalie Dawn Lambie, D.O.

• Physical Therapy Assistant in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.