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

Mrs. Michelle Olvido Lascano

Individual provider Physical Therapist · NPI 1114779329

Mrs. Michelle Olvido Lascano is a Physical Therapist in Private Practice in Clearwater, Florida. Qualified in 2021, 5 years ago. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

1206 Court St
Clearwater, FL 33756-5802
Phone: (727) 286-8408
Fax: (727) 286-6048
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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 PT41120 (FL)

Record details

NPI number1114779329
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2024
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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