Individual provider Active NPI

Lareyne Weiss, P.T.

  • Physical Therapist
  • Weston, FL
National Provider Identifier
1043303464
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19287 Issued in FL
Practice address
1424 Seagrape Cir
Weston, FL 33326-2724
Phone
(954) 217-0704
NPI assigned
Sep 30, 2006
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19287 FL Primary

Addresses

Primary practice location

1424 Seagrape Cir
Weston, FL 33326-2724

Mailing address

1449 W Yamato Rd Ste 2
Boca Raton, FL 33431-4471
Phone (561) 826-3808

Other names 1

  • Ms. Lareyne Mahmoodi Former name

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

LicenseStateTypeSpecialty
PT19287FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Remedy LLC Physical Therapist PastSince May 2, 2007 Accepting new patients
Totality Health, PA Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1043303464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 W YAMATO RD STE 2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314471",
            "telephone_number": "561-826-3808",
            "fax_number": "561-826-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 SEAGRAPE CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262724",
            "telephone_number": "954-217-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LAREYNE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAREYNE",
            "last_name": "MAHMOODI",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.