Lifemotion Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5286 Issued in FL

Legal business name

LIFEMOTION PHYSICAL THERAPY INC

Practice address

175 Toney Penna Dr
Suite 206a
Jupiter, FL 33458-5755

Phone

(561) 746-8148

Fax

(561) 277-9638

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alvin Alejandro Ponce de Leon, P.T.NPI 1679744064

Title

President

Phone

(561) 746-8148

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alvin A Ponce de Leon, P.T.

  • Physical Therapist
  • Jupiter, FL
  • NPI 1679744064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1376590273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TONEY PENNA DR",
            "address_2": "SUITE 206A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585755",
            "telephone_number": "561-746-8148",
            "fax_number": "561-277-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 TONEY PENNA DR",
            "address_2": "SUITE 206A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585755",
            "telephone_number": "561-746-8148",
            "fax_number": "561-277-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMOTION PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "PONCE DE LEON",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-746-8148",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT5286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.