Individual provider Active NPI

Lonny Reeber, MPT

  • Physical Therapist
  • Margate, FL
National Provider Identifier
1083652507
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20058 Issued in FL
Practice address
3461 Merrick LN
Margate, FL 33063-8245
Phone
(954) 935-9354
NPI assigned
Jun 4, 2006
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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 20058 FL Primary

Addresses

Primary practice location

3461 Merrick LN
Margate, FL 33063-8245

Mailing address

2001Ne48Th St
Fort Lauderdale, FL 33308-4517
Phone (954) 491-6620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109001097 FL Practitioner - Physical Therapist in Private Practice 5395054548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
XL Physical Therapy and Sports Rehab IncGroup PAC ID 0244366870, 5 clinicians

Practice addresses (Care Compare)

4022 N Ocean Blvd
Fort Lauderdale, FL 33308-6420
Phone (954) 547-2151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20058FLMDPhysical Therapy Assistant

Organizations & group practices 1

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1083652507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001NE48TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084517",
            "telephone_number": "954-491-6620",
            "fax_number": "954-491-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 MERRICK LN",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330638245",
            "telephone_number": "954-935-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEBER",
        "first_name": "LONNY",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "20058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.