| Nicholas Lazzaro, | |
| 533 Five Cities Dr Ste C6, Pismo Beach, CA 93449-3006 | |
| (805) 489-7912 | |
| (805) 489-9697 | 
| Full Name | Nicholas Lazzaro | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 533 Five Cities Dr Ste C6, Pismo Beach, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699557736 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT307438 (California) | Primary | 
| Provider Name | North Platte Physical Therapy Services Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1093914111 PECOS PAC ID: 8921080565 Enrollment ID: O20040607000307 | 
| Provider Name | Big Country Rehabilitation Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1366493264 PECOS PAC ID: 0648253666 Enrollment ID: O20040610001233 | 
| Provider Name | Bear Lodge Rehabilitation Services, Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1558690099 PECOS PAC ID: 7911041199 Enrollment ID: O20100225000900 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicholas Lazzaro, 408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805 | Nicholas Lazzaro, 533 Five Cities Dr Ste C6, Pismo Beach, CA 93449-3006 Ph: (805) 489-7912 | 
| Andrew Rodriguez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Oak Park Blvd Ste 102, Pismo Beach, CA 93449 Phone: 805-481-8272 | |
| Megan Julia Janard-howell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 535 Five Cities Dr Ste C9, Pismo Beach, CA 93449 Phone: 805-489-7912 Fax: 805-489-9697 | |
| San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 533 Five Cities Dr Ste C6, Pismo Beach, CA 93449 Phone: 805-489-7912 Fax: 805-489-9697 | |
| Dr. Janey Troxell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 533 Five Cities Dr Ste C6, Pismo Beach, CA 93449 Phone: 805-489-7912 Fax: 805-489-9697 | |
| Charles Alden Barstow Jr., MPT,OCS, COMT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 271 Five Cities Dr, Pismo Beach, CA 93449 Phone: 805-473-7499 Fax: 805-473-7494 | |
| Joanne Marie Hatcher, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 271 Five Cities Dr, Pismo Beach, CA 93449 Phone: 805-473-7499 Fax: 805-473-7494 | |
| Genene Lara,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 271 Five Cities Dr, Pismo Beach, CA 93449 Phone: 805-473-7499 |