Jeffrey D Lanam, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013305 Issued in OH

Practice address

1325 Churchill Hubbard Rd
Youngstown, OH 44505-1346

Phone

(330) 759-5904

Fax

(330) 759-8709

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Novacare Rehabilitation of Ohio, Inc.

  • Physical Therapy Clinic/Center
  • Alliance, OH
  • NPI 1952970824
  Medicare reassignment
• Atlas Rehab and Wellness Center LLC

  • Physical Therapist
  • Youngstown, OH
  • NPI 1932152931
  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1396031373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 CHURCHILL HUBBARD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051346",
            "telephone_number": "330-759-5904",
            "fax_number": "330-759-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 CHURCHILL HUBBARD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051346",
            "telephone_number": "330-759-5904",
            "fax_number": "330-759-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANAM",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2577162",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William D Lambert Jr., LPN
• Ronald L Lambright
• Kathleen Lamoreaux, PT
• Karryn Lamp
• Kelly Danielle Lampley
• Edward Donald Lancy Jr., PH.D., O.D.
• Angela Yvette Landers, APRN, FNP-C
• Josette Landis, MSW, LSW
• Valorie R Landis
• Gregory Landolfi

• Physical Therapist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.