Active NPI
Laurence Bagayas Verdeflor, RPT
- Physical Therapist
- Winter Springs, FL
National Provider Identifier
1114155017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20802
- Practice address
- 1535 Wescott Loop
Winter Springs, FL 32708-5615 - Phone
- (407) 461-9452
- Fax
- (407) 951-5882
- NPI assigned
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20802 | FL | Primary |
Addresses
Primary practice location
1535 Wescott Loop
Winter Springs, FL 32708-5615
Mailing address
1535 Wescott Loop
Winter Springs, FL 32708-5615
Phone (407) 461-9452
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20802 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1114155017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 WESCOTT LOOP",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327085615",
"telephone_number": "407-461-9452",
"fax_number": "407-951-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 WESCOTT LOOP",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327085615",
"telephone_number": "407-461-9452",
"fax_number": "407-951-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDEFLOR",
"first_name": "LAURENCE",
"middle_name": "BAGAYAS",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.