Active NPI
Lloyd Sato Baynosa, PHYSICAL THERAPIST
- Physical Therapist
- Ft. Lauderdale, FL
National Provider Identifier
1346434008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17789
- Practice address
- Medpro Staffing
3201 W Commercial Blvd, Suite 116
Ft. Lauderdale, FL 33309 - Phone
- (866) 608-2670
- NPI assigned
- Sep 5, 2007
- 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 | 17789 | MA | Primary |
Addresses
Primary practice location
Medpro Staffing
3201 W Commercial Blvd, Suite 116
Ft. Lauderdale, FL 33309
Mailing address
31 Vine St Apt 37
Weymouth, MA 02188-2319
Phone (781) 277-1174
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17789 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medpro | 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
- Fort Lauderdale, FL
- NPI 1033353339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1346434008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 VINE ST APT 37",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021882319",
"telephone_number": "781-277-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDPRO STAFFING",
"address_2": "3201 W COMMERCIAL BLVD, SUITE 116",
"city": "FT. LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "866-608-2670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYNOSA",
"first_name": "LLOYD",
"middle_name": "SATO",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-05",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft. Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.