Individual provider Active NPI

Michael Whittington

  • Physical Therapist
  • Lake Mary, FL
National Provider Identifier
1376940304
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
400 International Pkwy
Suite 600
Lake Mary, FL 32746-5061
Phone
(318) 359-7634
NPI assigned
Nov 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

400 International Pkwy
Suite 600
Lake Mary, FL 32746-5061

Mailing address

425 S Cherry St
Ste 1000
Denver, CO 80246-1236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190430000616 LA Practitioner - Physical Therapist in Private Practice 8729339528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lemoine Therapy Services of Cenla IncGroup PAC ID 4789635244, 11 clinicians

Practice addresses (Care Compare)

7406 Hwy 1
Suite 102
Mansura, LA 71350-4204
Phone (318) 240-7680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Center of Jefferson Davis Parish, Inc Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
Lemoine Therapy Services of Cenla Inc Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
Physical Therapy Clinic of Carencro LLC Physical Therapist PastSince Mar 1, 2019 Accepting new patients

Locations

4501 Jackson St
Ste D
Alexandria, LA 71303
Phone (318) 704-0710

204 E Saint Peter St
Carencro, LA 70520
Phone (337) 896-6685

1401 Church St
Jeanerette, LA 70544
Phone (337) 276-2803

2002 Johnson St
Jennings, LA 70546

2002 Johnson St
Ste 100
Jennings, LA 70546
Phone (337) 824-8287

105 Patriot St
Ste 201
Lafayette, LA 70508
Phone (337) 345-1957

4451 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-0027

7406 Highway 1
Ste 102
Mansura, LA 71350
Phone (318) 240-7680

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1376940304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST",
            "address_2": "STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INTERNATIONAL PKWY",
            "address_2": "SUITE 600",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465061",
            "telephone_number": "318-359-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTINGTON",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-19",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.

Verify at the official NPI Registry.