Laura Benalcazar, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

2401 Frist Blvd
Fort Pierce, FL 34950-4839

Phone

(772) 466-0088

Fax

(772) 460-8555

NPI assigned

Aug 9, 2011

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)

Not enrolled

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1184903171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 FRIST BLVD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504839",
            "telephone_number": "772-466-0088",
            "fax_number": "772-460-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FRIST BLVD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504839",
            "telephone_number": "772-466-0088",
            "fax_number": "772-460-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENALCAZAR",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Powell Beesley
• Meera Surujdai Beharry, M.D.
• Behavioral Intervention Therapy Services LLC
• Christopher William Beiser, D.O.
• Bridgette Bell
• Melanie Benedix, MS, BCBA
• Brenda S Bennett
• Carolyn Bonita Bennett
• Donald Gregory Berch, PHD
• Tracy Lynn Berg, PTA

• Physical Therapy Assistant in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.