Tho CHI Le, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS14358 Issued in FL

Practice address

3308 NE 34TH St
Fort Lauderdale, FL 33308-6906

Phone

(954) 564-3200

Fax

(954) 653-9188

NPI assigned

Aug 5, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Pain Management Clinics of Florida, LLC

  • Pain Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1912367426
  NPD (past)

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1073922944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 NE 34TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086906",
            "telephone_number": "954-564-3200",
            "fax_number": "954-653-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 NE 34TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086906",
            "telephone_number": "954-564-3200",
            "fax_number": "954-653-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THO",
        "middle_name": "CHI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS14358",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS14358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brazelia Lazzari
• Jessica Lin Lazzell, LMHC
• LCM Labs LLC
• Le Chateau Alf
• Phi H Le
• Jennifer Leace, MS CCC-SLP
• John C Leach, MD
• Cristina Nicole Leal, BS
• Robert Benjamin Lear, RPH
• Learnflo Tech LLC

• Physical Medicine & Rehabilitation Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.