ANGIE J LASTRA MD
NPI 1629347083
Physical Medicine & Rehabilitation in Hollywood, FL
About Angie J Lastra Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGIE J LASTRA MD (NPI 1629347083) is an individual physical medicine & rehabilitation provider in Hollywood, Florida, licensed in Florida (ME121548) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angie J Lastra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Angie Lastra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hollywood, FL 33021
- Reassigned Medicare billing, Florida enrollment
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Angie Lastra's NPI number?
The NPI number for Angie Lastra is 1629347083. It was assigned to this individual provider in the NPPES registry on December 14, 2011.
Where is Angie Lastra located?
Angie Lastra practices at 3702 Washington St Ste 303, Hollywood, FL 33021. The listed phone number is (954) 518-2424.
What is Angie Lastra's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Angie Lastra enrolled in Medicare?
Yes. Angie Lastra is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Angie Lastra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angie Lastra reassigns Medicare benefits to South Broward Hospital District (Hollywood, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angie Lastra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Angie Lastra was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.