Individual provider Active NPI

Lawrence Walter Dupee

  • Mechanotherapist
  • Brooker, FL
National Provider Identifier
1255643565
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA58786 Issued in FL
Practice address
16526 SW 137TH Ave
Brooker, FL 32622-2357
Phone
(352) 342-4624
NPI assigned
Jul 2, 2010
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA58786 FL Primary

Addresses

Primary practice location

16526 SW 137TH Ave
Brooker, FL 32622-2357

Mailing address

16526 SW 137TH Ave
Brooker, FL 32622-2357
Phone (352) 342-4624

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

LicenseStateTypeSpecialty
MA58786FLMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1255643565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16526 SW 137TH AVE",
            "city": "BROOKER",
            "state": "FL",
            "postal_code": "326222357",
            "telephone_number": "352-342-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16526 SW 137TH AVE",
            "city": "BROOKER",
            "state": "FL",
            "postal_code": "326222357",
            "telephone_number": "352-342-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPEE",
        "first_name": "LAWRENCE",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA58786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooker, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.