Active NPI
Patricia Ann Larbalestrier, P.T.
- Physical Therapist
- Largo, FL
National Provider Identifier
1003916495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14962
- Practice address
- 12416 66TH St
Largo, FL 33773-3430 - Phone
- (727) 547-4700
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14962 | FL | Primary |
Addresses
Primary practice location
12416 66TH St
Largo, FL 33773-3430
Mailing address
2916 2ND Ave N
St Petersburg, FL 33713-8613
Phone (727) 535-6746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888945700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14962 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1003916495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 2ND AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138613",
"telephone_number": "727-535-6746",
"fax_number": "727-536-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12416 66TH ST",
"city": "LARGO",
"state": "FL",
"postal_code": "337733430",
"telephone_number": "727-547-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARBALESTRIER",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "14962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "888945700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.