Individual provider Active NPI

Lee C Levanduski, PT

  • Orthopedic Physical Therapist
  • Bradenton, FL
National Provider Identifier
1174647770
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT17949 Issued in FL
Practice address
11014 4TH Ave E
Bradenton, FL 34212-1615
Phone
(941) 708-9555
Fax
(941) 708-5465
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT17949 FL
Sports Physical Therapist 2251S0007X PT17949 FL
Orthopedic Physical Therapist 2251X0800X PT17949 FL Primary

Addresses

Primary practice location

11014 4TH Ave E
Bradenton, FL 34212-1615

Mailing address

11014 4TH Ave E
Bradenton, FL 34212-1615
Phone (941) 708-9555

Other identifiers 1

IdentifierTypeStateIssuer
PT17949OtherFLSTATE LICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Anesthesiologists, PLLC Past Accepting new patients
Acute Care Team Past Accepting new patients
Anesthesia and Pain Physicians of Florida, PA Past Accepting new patients
Musculoskeletal Institute Chartered PastSince Mar 2, 2020 Accepting new patients
Rehab Associates LLC PastSince Nov 6, 2003 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1174647770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11014 4TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342121615",
            "telephone_number": "941-708-9555",
            "fax_number": "941-708-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11014 4TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342121615",
            "telephone_number": "941-708-9555",
            "fax_number": "941-708-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVANDUSKI",
        "first_name": "LEE",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17949",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT17949",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT17949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT17949",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.