Active NPI
Lawrence Martin, PT
- Physical Therapist
- Punta Gorda, FL
National Provider Identifier
1194029355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3524
- Practice address
- 315 E Olympia Ave
Suite 212
Punta Gorda, FL 33950-3823 - Phone
- (941) 255-5940
- Fax
- (941) 255-5943
- NPI assigned
- Jan 3, 2011
- 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 | PT3524 | FL | Primary |
Addresses
Primary practice location
315 E Olympia Ave
Suite 212
Punta Gorda, FL 33950-3823
Mailing address
39001 Washington Loop Rd
Punta Gorda, FL 33982-9683
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 |
|---|---|---|---|
| PT3524 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Orthopedic & Sports Physical Therapy | Physical Therapist | Past | Accepting new patients |
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 Therapist
- Punta Gorda, FL
- NPI 1871542217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1194029355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39001 WASHINGTON LOOP RD",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339829683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E OLYMPIA AVE",
"address_2": "SUITE 212",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503823",
"telephone_number": "941-255-5940",
"fax_number": "941-255-5943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LAWRENCE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-03",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT3524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.