Haven Care Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

16870 Issued in FL

Legal business name

HAVEN CARE PHYSICAL THERAPY, LLC

Practice address

2225 E Edgewood Dr
Lakeland, FL 33803-3634

Phone

(863) 513-9054

Fax

(863) 583-0390

NPI assigned

Jan 18, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer H Soriano

Title

Managing Member

Phone

(863) 513-9054

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramir Bautista Soriano, PT

  • Physical Therapist
  • Lakeland, FL
  • NPI 1407212244
  NPD (past)

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1235596503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5634 HILLVIEW CT",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338103246",
            "telephone_number": "863-513-9054",
            "fax_number": "863-583-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E EDGEWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033634",
            "telephone_number": "863-513-9054",
            "fax_number": "863-583-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN CARE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "863-513-9054"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "16870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Hatch, DMD
• Tammy Hatcher
• John Hatfield, LCSW
• Haley Hatton
• Katrina Hauser, DO
• Hawthorne Lakeland Al Operations LLC
• Nadine Hawthorne, PCD(DONA)
• Stacie Hay, RN
• Erica Hayes
• Justin Michael Hayes

• Physical Therapy Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.