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

Individual provider Physical Therapist · NPI 1063969061

Nicholas Angelo Lasarso, DPT is a Physical Therapist in Queensbury, New York. Licensed in Maine and New York. Registered with an NPI since 2016.

Licensed in
ME, NY
In the registry since
2016
Specialties on file
4
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

2 Country Club Rd
Queensbury, NY 12804-1702
Phone: (518) 926-2075
Fax: (518) 926-2020
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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 047240-01 (NY)
Physical Therapist Taxonomy 225100000X · Licence PT4697 (ME)
Sports Physical Therapist Taxonomy 2251S0007X · Licence PT4697 (ME)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT4697 (ME)

Record details

NPI number1063969061
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 7, 2016
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021
Mailing address2 Country Club Rd, Queensbury, NY 12804-1702

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