Individual provider Active NPI

Edward F Lacy, PT CSCS

  • Orthopedic Physical Therapist
  • Ocala, FL
National Provider Identifier
1295845774
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
19528 Issued in FL
Practice address
4901 E Silver Springs Blvd
Ste 305
Ocala, FL 34470-3228
Phone
(352) 263-1811
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 19528 FL Primary

Addresses

Primary practice location

4901 E Silver Springs Blvd
Ste 305
Ocala, FL 34470-3228

Mailing address

4901 E Silver Springs Blvd
Suite 305
Ocala, FL 34470-3228
Phone (352) 236-1811

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

LicenseStateTypeSpecialty
1948NMMDPeer Specialist
19528FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Physical Therapy, Inc. PastSince Aug 18, 2008 Accepting new patients
Endeavor Physical Therapy Inc Orthopedic Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1295845774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 E SILVER SPRINGS BLVD",
            "address_2": "SUITE 305",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344703228",
            "telephone_number": "352-236-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 E SILVER SPRINGS BLVD",
            "address_2": "STE 305",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344703228",
            "telephone_number": "352-263-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "EDWARD",
        "middle_name": "F",
        "credential": "PT CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "19528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.