Individual provider Active NPI

Thomas L. Lasky, PT DSC PT

  • Physical Therapist
  • Tiffin, OH
National Provider Identifier
1972695120
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003118 Issued in OH
Practice address
47 Miami Street
Tiffin, OH 44883
Phone
(419) 447-0760
Fax
(419) 447-0765
NPI assigned
Sep 28, 2006
Last updated
Feb 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 003118 OH Primary

Addresses

Primary practice location

47 Miami Street
Tiffin, OH 44883

Mailing address

P.O. Box 1089
Tiffin, OH 44883-7089
Phone (419) 447-0760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110804000755 OH Practitioner - Physical Therapist in Private Practice 4981873130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Orthopaedic and Sports Rehabilitation LTDGroup PAC ID 6002085370, 4 clinicians

Practice addresses (Care Compare)

47 Miami St
Tiffin, OH 44883-2226
Phone (419) 447-0760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003118OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Orthopaedic & Sports Rehabilitation,LTD Physical Therapist CurrentSince Jul 1, 2011 Accepting new patients

Locations

47 Miami St
Tiffin, OH 44883
Phone (419) 447-0760

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1972695120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1089",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448837089",
            "telephone_number": "419-447-0760",
            "fax_number": "419-447-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MIAMI STREET",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "44883",
            "telephone_number": "419-447-0760",
            "fax_number": "419-447-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKY",
        "first_name": "THOMAS",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "PT DSC PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "003118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.