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LAUREN TAKAYESU, PT, DPT

Deactivated Sole Proprietor

LAUREN TAKAYESU, PT, DPT is a Physical Therapy Assistant healthcare provider located in FORT DRUM, New York. NPI 1851898431 is deactivated in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FORT DRUM, NY

This NPI has been deactivated. The record was deactivated on June 23, 2025. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1851898431
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2018 (7.2027397260274 yrs)
Last Updated
Aug 5, 2025
Deactivated
Jun 23, 2025
License
294454 (CA)
Sole Proprietor
Yes

Practice Information

Address
USA MEDDAC
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY, 13602
Browse NY providers · Browse ZIP 13602
Phone
3157722778
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FORT DRUM, NY

Name Credential NPI
MR. BRIAN PATRICK SWEENEY PT 1427048479
JANE W DINGMAN P.T. 1295726818
DR. TANJA CLAUDIA ROY PHYSICAL THERAPIST 1417939893
WILLIAM CHRIST WERLING MPT 1518940477
MR. MATTHEW TRENT STEHR P.T. 1750367603
MS. CARMEN HILDA DELGADO PT 1891758942
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.