David Alan Lavin, P.T.,D.P.T.,C.S.C.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 25768 Issued in FL

Practice address

1897 Island Walk Way
Unit 6
Fernandina Beach, FL 32034-1948

Phone

(904) 261-4664

Fax

(904) 261-5852

NPI assigned

Feb 23, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1003113358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "706-236-2774",
            "fax_number": "706-802-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 ISLAND WALK WAY",
            "address_2": "UNIT 6",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341948",
            "telephone_number": "904-261-4664",
            "fax_number": "904-261-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIN",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "P.T.,D.P.T.,C.S.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 25768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Jean Kristensen, MSW, LCSW
• Blaine S. Kristo, MD
• Jennifer Pierce Lail, PHD
• Jenna Lynn Lamont, MSW
• Arnold Landsman, DPM
• George Glenn Le-Bert, D.O.
• Taylor A Leard, PA-C
• Lee Chiropractic Clinic Inc
• Joseph Michael Lee, DC
• Lina Lehner, RD, LD

• Physical Therapist in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.