Active NPI
Lawrence J Fitzpatrick, LATC, PTA
- Physical Therapy Assistant
- Milton, MA
National Provider Identifier
1215999883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2004
- Practice address
- 170 Centre St
Milton, MA 02186-3338 - Phone
- (617) 898-2248
- Fax
- (617) 898-1716
- NPI assigned
- Apr 6, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2004 | MA | Primary |
| Athletic Trainer | 2255A2300X | 72 | MA |
Addresses
Primary practice location
170 Centre St
Milton, MA 02186-3338
Mailing address
105 Centre St
Milton, MA 02186-3308
Phone (617) 696-1868
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 |
|---|---|---|---|
| 2004 | MA | MD | Veterinarian |
| 72 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215999883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CENTRE ST",
"city": "MILTON",
"state": "MA",
"postal_code": "021863308",
"telephone_number": "617-696-1868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 CENTRE ST",
"city": "MILTON",
"state": "MA",
"postal_code": "021863338",
"telephone_number": "617-898-2248",
"fax_number": "617-898-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "LAWRENCE",
"middle_name": "J",
"credential": "LATC, PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "2004",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "72",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.