Giaco Andrae Nance, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA24030 Issued in FL

Practice address

3110 Oakbridge Blvd E
Lakeland, FL 33803-5987

Phone

(863) 648-4800

NPI assigned

May 20, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1427494236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 GRAND BAY CIR APT 203",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338101852",
            "telephone_number": "863-602-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 OAKBRIDGE BLVD E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035987",
            "telephone_number": "863-648-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "GIACO",
        "middle_name": "ANDRAE",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sushma Simha Nakka, MD
• Nalas Homecare Service LLC
• Colton Travis Nalley, BT
• Ramchandra Nallu, M.D
• Ashton Nance
• Kolby Nance, M.A.
• Megan Nance, LMHC
• Laura Napoles Rodriguez
• Susana Napoles Rodriguez
• Misty Nappier

• Physical Therapy Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.