Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
WAL OCCUPATIONAL THERAPY PC
Active
Organization
WAL OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILMER LACSON PT (PRESIDENT)
(917) 484-1465
Entity
Organization
Contact information
Practice address
6865 FRESH POND RD, RIDGEWOOD, NY 11385-5263
(917) 484-1465
(917) 900-1681
Mailing address
333 E 108TH ST APT 3E, NEW YORK, NY 10029-4228
(917) 484-1465
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up