Lorenzo Antonio Fernandez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30424 Issued in FL

Practice address

558 N Semoran Blvd
Winter Park, FL 32792-2840

Phone

(407) 679-1515

NPI assigned

Nov 3, 2020

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1528669942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 WELHAM ST APT 437",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146855",
            "telephone_number": "786-474-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 N SEMORAN BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922840",
            "telephone_number": "407-679-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LORENZO",
        "middle_name": "ANTONIO",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert V. Ferguson, D.M.D.
• Fern Creek Counseling Center (fern creek counseling)
• Jenna M Fernandes
• Yris S Fernandez Merette
• Camilo D Fernandez-Salvador, M.D
• Matt Fernandez, RMHI, MA
• Melanie Samantha Fernandez, PA-C
• Francesca Ferretti
• Barbara Ferris, L.M.F.T.
• Kelli Morris Ferry, AUD

• Physical Therapy Assistant in Winter Park, FL
• Providers in Winter Park, 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 Nov 3, 2020; 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.