Lara Dondero, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA29667 Issued in FL

Practice address

951 N Washington Ave BLDG 4
Titusville, FL 32796-2194

Phone

(321) 684-0187

NPI assigned

Dec 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1023721867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6548 WINDOVER WAY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807565",
            "telephone_number": "321-684-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 N WASHINGTON AVE BLDG 4",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962194",
            "telephone_number": "321-684-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONDERO",
        "first_name": "LARA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Meditech",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "951 N Washington Ave Bldg 4",
            "city": "Titusville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327962194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diversified Health & Investments LLC
• DJ Sustainable Progress Consulting LLC
• DLT Anesthesia LLC
• Kaitlin Dobrowolski, PT, DPT
• Doctors Goodwill Foundation, Inc
• Julia Kendall Donnelly, LCSW
• Megan Marie Doran, M.A., CCC-SLP
• Lori Jean Dorr
• Kelly Jeanne Dorsey, P.T.
• Sylvia Diane Dorsey, LMHC

• Physical Therapy Assistant in Titusville, FL
• Providers in Titusville, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.