Active NPI
Lydia Picard, PT, DPT
- Physical Therapist
- Jupiter, FL
National Provider Identifier
1245616424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 29454
- Practice address
- 210 Jupiter Lakes Blvd
Suite 5101
Jupiter, FL 33458-7191 - Phone
- (561) 741-1876
- Fax
- (888) 721-1997
- NPI assigned
- Aug 10, 2015
- Sex
- Female
- Sole proprietor
- No
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 | PT 29454 | FL | Primary |
Addresses
Primary practice location
210 Jupiter Lakes Blvd
Suite 5101
Jupiter, FL 33458-7191
Mailing address
144 Wooden Mill Ter
Jupiter, FL 33458-5553
Phone (561) 762-9462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151112003025 | FL | Practitioner - Physical Therapist in Private Practice | 3577873066 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 29454 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1245616424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 WOODEN MILL TER",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585553",
"telephone_number": "561-762-9462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 JUPITER LAKES BLVD",
"address_2": "SUITE 5101",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587191",
"telephone_number": "561-741-1876",
"fax_number": "888-721-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICARD",
"first_name": "LYDIA",
"name_prefix": "Miss",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 29454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.