MR. MARK ANTHONY LAGO (PT) – Physical Therapist, NPI 1730511460

MR. MARK ANTHONY LAGO (PT) is a healthcare provider. based in Sunrise, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070.019839 (IL). The NPI Number for MR. MARK ANTHONY LAGO (PT) is 1730511460

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK ANTHONY LAGO (PT)
NPI
1730511460
Phone
(954) 336-2830
Address
1580 SAWGRASS CORPORATE PKWY
Enumeration Date
5 August 2013
Last Update Date
4 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083147761
Graduation Year
2016 (10 years ago)
PAC ID
6204368533
Group Practice PAC ID
4789602681
Professional Enrollment ID
I20241011001482
Address ID
IL604498866MO5601XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MR. MARK ANTHONY LAGO (PT)

  • 1580 SAWGRASS CORPORATE PKWY

    SUITE 100

    SUNRISE, FL 333232859

    Phone: (954) 336-2830

    Type: Mailing

  • 5601 W MONEE MANHATTAN RD STE 115

    MONEE, IL 604498866

    Phone: (708) 314-7761

    Type: Location

  • 2122 YORK RD STE 300

    OAK BROOK, IL 605231925

    Phone: (630) 575-6200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241011001482IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33323)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789602681View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeVA
-MI
-IL
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIL
-MI

Reviews

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Frequently asked questions

What is the standard ID for MR. MARK ANTHONY LAGO (PT) in the U.S.?
In the U.S., MR. MARK ANTHONY LAGO (PT) is identified by NPI 1730511460.
Should I treat MR. MARK ANTHONY LAGO (PT) as an active provider?
Patients and plans typically see MR. MARK ANTHONY LAGO (PT) as active in the national extract.
What does the directory say MR. MARK ANTHONY LAGO (PT) does?
Insurance directories may phrase it differently, but here MR. MARK ANTHONY LAGO (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. MARK ANTHONY LAGO (PT)?
MR. MARK ANTHONY LAGO (PT) is associated with Sunrise, Florida in the same public data insurers reference.
Why is information missing for MR. MARK ANTHONY LAGO (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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