Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Lacey Jaymes Rezucha, DPT

Individual provider Physical Therapist · NPI 1255933479

Miss. Lacey Jaymes Rezucha, DPT is a Physical Therapist in Johnson City, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

153 Oakdale Rd Ste 2
Johnson City, NY 13790-1007
Phone: (607) 217-0825
Fax: (607) 217-0829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 045963-01 (NY)

Record details

NPI number1255933479
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 12, 2020
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020

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