Active NPI
Lawrence Allen Fossitt, M.P.T., C.F.M.T.
- Physical Therapist
- Sanford, FL
National Provider Identifier
1346310026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19048
- Practice address
- 2015 S Maple Ave
Sanford, FL 32771-3361 - Phone
- (407) 328-5420
- Fax
- (407) 328-5430
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- 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 | PT19048 | FL | Primary |
Addresses
Primary practice location
2015 S Maple Ave
Sanford, FL 32771-3361
Mailing address
289 Brassington Drive
Debary, FL 32713
Phone (407) 792-8590
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT19048 | Other | FL | PROFESSIONAL LICENSE NUM. |
| Y045R | Other | FL | BCBSFL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2015 S Maple Ave
Sanford, FL 32771-3361
Phone (407) 328-5420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fossitt Therapy Services, Inc. | Current | Accepting new patients |
Locations
2015 S Maple Ave
Sanford, FL 32771
Phone (407) 328-5420
Networks
- Freedom Health HMO Network
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.
-
- Multi-Specialty Clinic/Center
- Sanford, FL
- NPI 1811940471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1346310026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 BRASSINGTON DRIVE",
"city": "DEBARY",
"state": "FL",
"postal_code": "32713",
"telephone_number": "407-792-8590",
"fax_number": "407-328-5430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 S MAPLE AVE",
"city": "SANFORD",
"state": "FL",
"postal_code": "327713361",
"telephone_number": "407-328-5420",
"fax_number": "407-328-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSSITT",
"first_name": "LAWRENCE",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "M.P.T., C.F.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE NUM.",
"identifier": "PT19048",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL NUMBER",
"identifier": "Y045R",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.