Active NPI
Larry E Mayol, ATC
- Sports Physical Therapist
- Largo, FL
National Provider Identifier
1346459880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- AL200
- Practice address
- 8151 Ulmerton Rd
Largo, FL 33771-3959 - Phone
- (727) 539-6764
- Fax
- (727) 530-0125
- NPI assigned
- May 22, 2007
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | AL200 | FL | Primary |
Addresses
Primary practice location
8151 Ulmerton Rd
Largo, FL 33771-3959
Mailing address
8193 Perth Dr
Largo, FL 33773-2942
Phone (727) 430-4724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL200 | Other | FL | FLORIDA ATHLETIC TRAINER |
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 |
|---|---|---|---|
| AL200 | FL | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346459880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8193 PERTH DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337732942",
"telephone_number": "727-430-4724",
"fax_number": "727-530-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8151 ULMERTON RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337713959",
"telephone_number": "727-539-6764",
"fax_number": "727-530-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYOL",
"first_name": "LARRY",
"middle_name": "E",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "FL",
"license": "AL200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA ATHLETIC TRAINER",
"identifier": "AL200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.