Desiree Nadine Lanford, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT10036 Issued in FL

Practice address

2625 NW 77TH Blvd
Gainesville, FL 32606-8674

Phone

(352) 331-9356

NPI assigned

Jul 18, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Elite Wellness and Rehab Services LLC

  dba The Movement and Balance Center

  • Physical Therapist
  • Gainesville, FL
  • NPI 1790935401
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1093060857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 NW 77TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 NW 77TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068674",
            "telephone_number": "352-331-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANFORD",
        "first_name": "DESIREE",
        "middle_name": "NADINE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rae Lane, RD
• Dominic Thomas Lane
• Melissa Diane Lane, LMT
• Timothy T Lane, M.D.
• Zakia Lane
• Emilie Rae Lang, ARNP
• Erica Lang
• Erin Rachael Lang, LCSW
• Scott Lang, M.D.
• Lange Eye Care & Assoc.

• Occupational Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.