Clearwater Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CLEARWATER PHYSICAL THERAPY, INC.

Practice address

2878 Roosevelt Blvd
Clearwater, FL 33760-1923

Phone

(727) 692-5115

Fax

(813) 354-4511

NPI assigned

Feb 23, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence J Lester, DPT

Title

President

Phone

(727) 692-5115

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550880000000",
    "number": "1508323700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 ROOSEVELT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601923",
            "telephone_number": "727-692-5115",
            "fax_number": "813-354-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 ROOSEVELT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601923",
            "telephone_number": "727-692-5115",
            "fax_number": "813-354-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-23",
        "last_updated": "2019-02-23",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-692-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1235134529",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1235134529",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "1235134529",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1235134529",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIMPLY",
            "identifier": "1235134529",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235134529",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clearwater Neurodiagnostics LLC
• Clearwater Orthopedic & Sports Medicine Inc
• Clearwater Pain Management Associates
• Clearwater Pathology Associates
• Clearwater Pharmacy LLC
• Clearwater Physicians Group LLC
• Clearwater Radiation Oncology LLC
• Clearwater Rehabilitation Center, LLC
• Clearwater Resources Inc
• Clearwater SNF LLC

• Physical Therapy Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; 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.