La Salette Health and Fitness Institute

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

PT-11017 Issued in FL

Legal business name

LA SALETTE HEALTH AND FITNESS INSTITUTE

Practice address

105 S Riverside Dr
Ste # 150
Indialantic, FL 32903-4365

Phone

(321) 525-5453

Fax

(866) 810-9307

NPI assigned

Aug 1, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Marianne S Cano, M.S.P.T.

Title

Physical Therapist

Phone

(321) 525-5453

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1386834638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33265",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329030265",
            "telephone_number": "321-525-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S RIVERSIDE DR",
            "address_2": "STE # 150",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034365",
            "telephone_number": "321-525-5453",
            "fax_number": "866-810-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SALETTE HEALTH AND FITNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "CANO",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "321-525-5453",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "PT-11017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y5332",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Krenzer, M.S.
• Kristine Van Workum, Rd, LDN, Inc. (Brevard Nutrition, Inc.)
• Barry Stewart Kronman, M.D.
• Jayadevan Kundumadathil, MD
• Deborah Kutner, PHD
• Jeannie Lano
• Larson Psychological Services, LLC (Molly Larson, Ph.D.)
• Lucy Simpson Lauer, LMHC
• Robert T Lee II, RCSWI
• Lightning Mobile Wounds

• Exclusive Provider Organization in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.