Active NPI
Gil Eroy Lasaca Jr., OTR
- Occupational Therapist
- Irving, TX
National Provider Identifier
1972723880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111133
- Practice address
- 8615 Freeport Pkwy Ste 225
Irving, TX 75063-1984 - Phone
- (972) 812-3299
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 111133 | TX | Primary |
Addresses
Primary practice location
8615 Freeport Pkwy Ste 225
Irving, TX 75063-1984
Mailing address
411 Buckingham Rd Apt 1116
Richardson, TX 75081-5787
Phone (469) 831-3165
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 |
|---|---|---|---|
| 111133 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amazing Choice Healthcare | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Allen, TX
- NPI 1669182390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972723880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 BUCKINGHAM RD APT 1116",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750815787",
"telephone_number": "469-831-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8615 FREEPORT PKWY STE 225",
"city": "IRVING",
"state": "TX",
"postal_code": "750631984",
"telephone_number": "972-812-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASACA",
"first_name": "GIL",
"middle_name": "EROY",
"name_suffix": "Jr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
- Las Colinas Orthopedic Surgery and Sports Medicine P.a.
- Las Colinas Pediatric Association
- Las Colinas Physical Medicine PLLC
- Las Colinas Psychological Services
- Las Colinas Vision Center, Inc
- Lasercare Eye Center, P.a.
- Richard H. Lash, MD
- Nathan Allen Lauchner, CRNA
- Taylor Lauer, PMHNP
- Susan Elizabeth Laukoter, LPC
Sources for this page
- 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.