Individual provider Active NPI

Lawrence J Lester, PT

  • Physical Therapist
  • Clearwater, FL
National Provider Identifier
1235134529
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15201 Issued in FL
Practice address
13501 Icot Blvd
Ste 110
Clearwater, FL 33760-3729
Phone
(727) 507-8555
Fax
(727) 532-0091
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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 PT15201 FL Primary

Addresses

Primary practice location

13501 Icot Blvd
Ste 110
Clearwater, FL 33760-3729

Mailing address

3194 Shoreline Dr
Clearwater, FL 33760-1736
Phone (727) 519-0520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000756 FL Practitioner - Physical Therapist in Private Practice 8325092455 Practice locations: Clearwater, FL

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2878 Roosevelt Blvd
Clearwater, FL 33760-1923
Phone (727) 507-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT15201FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Rehability at Home, LLC Physical Therapist CurrentSince Feb 1, 2017 Accepting new patients
International Health Clinic Past Accepting new patients

Organizations & group practices 2

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1235134529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3194 SHORELINE DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601736",
            "telephone_number": "727-519-0520",
            "fax_number": "727-532-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 ICOT BLVD",
            "address_2": "STE 110",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603729",
            "telephone_number": "727-507-8555",
            "fax_number": "727-532-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.