Irene Lardizabal, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13729 Issued in FL

Practice address

630 N Maitland Ave
Maitland, FL 32751-4423

Phone

(407) 539-2488

Fax

(407) 539-2408

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1295909018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N MAITLAND AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514423",
            "telephone_number": "407-539-2488",
            "fax_number": "407-539-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N MAITLAND AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514423",
            "telephone_number": "407-539-2488",
            "fax_number": "407-539-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARDIZABAL",
        "first_name": "IRENE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT13729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Jay Landin, M.A.
• Victoria Landis, M.A., CCC-SLP
• Timothy W Langerholc, LMHC
• Donna Lynn Lapalm, MHC RI
• Anthony L. Laporte, CRNA
• Juan Manuel Lares Perez
• Jordan Lane Lass, PA-C
• Kimberly Contigiani Lauer, CRNA
• Shauna M Laughna, PH.D., ABPP
• Rala Lauser

• Physical Therapist in Maitland, FL
• Providers in Maitland, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.