Active NPI
Lawrence A Bertolino, P.T.
- Physical Therapist
- Sarasota, FL
National Provider Identifier
1275562183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20421
- Practice address
- 5023 Ringwood MDW
BLDG F
Sarasota, FL 34235-2035 - Phone
- (941) 360-9706
- Fax
- (941) 360-8032
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PT20421 | FL | Primary |
Addresses
Primary practice location
5023 Ringwood MDW
BLDG F
Sarasota, FL 34235-2035
Mailing address
8913 Bernberry Street
Sarasota, FL 34240
Phone (941) 350-0006
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20421 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradise Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Sarasota, FL
- NPI 1649929068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496880000000",
"number": "1275562183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8913 BERNBERRY STREET",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34240",
"telephone_number": "941-350-0006",
"fax_number": "941-379-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5023 RINGWOOD MDW",
"address_2": "BLDG F",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342352035",
"telephone_number": "941-360-9706",
"fax_number": "941-360-8032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTOLINO",
"first_name": "LAWRENCE",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2017-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.