Pro Motion Therapy of Lake City LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRO MOTION THERAPY OF LAKE CITY LLC

Practice address

945 SW Main Blvd
Lake City, FL 32025-5746

Phone

(386) 755-3164

Fax

(386) 755-3165

NPI assigned

Jul 21, 2011

Organization subpart

No

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

Authorized official

Name

Wayne Cavanaugh

Title

Ceo

Phone

(303) 517-1912

Specialties & licenses 2

Addresses

Other names 1

• FYZICAL Therapy & Balance Centers Doing business as

Tax ID family

Fyzical Therapy Balance Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pro Motion Therapy of Lake City LLC

  • Physical Therapy Clinic/Center
  • Gainesville, FL
  • NPI 1538358585
  NPD tax ID

Practitioners 2

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

• David Clyde Lower, PT,DPT

  • Physical Therapist
  • Lake City, FL
  • NPI 1518026665
  NPD
• Edwin Joseph Horney Jr., D.P.T.

  • Physical Therapist
  • Lake City, FL
  • NPI 1912029315
  NPD (past)

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1073801262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632670",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632670",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255746",
            "telephone_number": "386-755-3164",
            "fax_number": "386-755-3165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4423 NW 6th Pl Ste C",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326076116",
            "country_code": "US",
            "telephone_number": "352-325-2276",
            "fax_number": "352-877-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRO MOTION THERAPY OF LAKE CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-517-1912"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tim Price
• Amanda Priest
• Jacob Prince, APRN
• Shanae Pritchett
• Erica Susanne Privett, MT-BC
• Kyle Proctor, PT
• Protection Now, LLC
• Brenda Pryce
• PSK Management LLC
• Psychiatric Associates of Lake City PA

• Physical Therapy Clinic/Center in Lake City, FL
• Providers in Lake City, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.