Individual provider Active NPI

Lester Alvin Hammond III, P.T.

  • Physical Therapist
  • Belleview, FL
National Provider Identifier
1194847533
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18770 Issued in FL
Practice address
5036 SE 110TH St
Belleview, FL 34420-3116
Phone
(352) 693-3378
Fax
(888) 758-9645
NPI assigned
Apr 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT18770 FL Primary

Addresses

Primary practice location

5036 SE 110TH St
Belleview, FL 34420-3116

Mailing address

303 SE 17TH St
#309-217
Ocala, FL 34471-4423

Other identifiers 1

IdentifierTypeStateIssuer
Y001QOtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Trey Hammond Other name

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

LicenseStateTypeSpecialty
PT18770FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida First Care, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1194847533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SE 17TH ST",
            "address_2": "#309-217",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 SE 110TH ST",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203116",
            "telephone_number": "352-693-3378",
            "fax_number": "888-758-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "LESTER",
        "middle_name": "ALVIN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y001Q",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREY",
            "last_name": "HAMMOND",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Belleview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.