NPIMap

Organization Active NPI

Lakeland Therapy Providers, Inc.

  • Speech-Language Pathologist
  • Lakeland, FL
National Provider Identifier
1013945856
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 968 Issued in FL
Legal business name
LAKELAND THERAPY PROVIDERS, INC.
Practice address
1335 Ariana St
Lakeland, FL 33803-1879
Phone
(863) 413-0802
Fax
(863) 413-0812
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Lilian Jose Pagkaliwangan
Title
President
Phone
(863) 413-0802

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT13022 FL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT 10878 FL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT 5060 FL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA 968 FL Primary

Addresses

Primary practice location

1335 Ariana St
Lakeland, FL 33803-1879

Mailing address

1335 Ariana St
Lakeland, FL 33803-1879
Phone (863) 413-0802

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1013945856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 ARIANA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031879",
            "telephone_number": "863-413-0802",
            "fax_number": "863-413-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 ARIANA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031879",
            "telephone_number": "863-413-0802",
            "fax_number": "863-413-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND THERAPY PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PAGKALIWANGAN",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-413-0802"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT13022",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 10878",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 5060",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.