Active NPI
Laura J Byrne, P.T.
- Physical Medicine & Rehabilitation Physician
- Gainesville, FL
National Provider Identifier
1114983483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT16688
- Practice address
- 108 NW 76TH Dr
Suite a
Gainesville, FL 32607-6652 - Phone
- (352) 331-3161
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 Medicine & Rehabilitation Physician | 208100000X | PT16688 | FL | Primary |
Addresses
Primary practice location
108 NW 76TH Dr
Suite a
Gainesville, FL 32607-6652
Mailing address
108 NW 76TH Dr
Suite a
Gainesville, FL 32607-6652
Phone (352) 331-3161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y3460 | Other | FL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT16688 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Body Gainesville Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
108 NW 76th Dr
Ste A
Gainesville, FL 32607
Phone (352) 331-3161
100 SW 75th St
Ste 106
Gainesville, FL 32607
Phone (352) 331-9344
3909 Newberry Rd
Ste D
Gainesville, FL 32607
Phone (352) 331-3161
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Gainesville, FL
- NPI 1326002387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1114983483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 NW 76TH DR",
"address_2": "SUITE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326076652",
"telephone_number": "352-331-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 NW 76TH DR",
"address_2": "SUITE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326076652",
"telephone_number": "352-331-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "LAURA",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "PT16688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y3460",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.