Active NPI
Robert Steven Lanza, LMT,NCBTMB
- Specialist
- Bonita Springs, FL
National Provider Identifier
1538418801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA67945
- Practice address
- 14620 Escalante Way
Bonita Springs, FL 34135-8279 - Phone
- (954) 821-7586
- Fax
- (239) 221-8305
- NPI assigned
- Sep 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA67945 | FL | Primary |
Addresses
Primary practice location
14620 Escalante Way
Bonita Springs, FL 34135-8279
Mailing address
14620 Escalante Way
Bonita Springs, FL 34135-8279
Phone (954) 821-7586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA67945 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346544000000",
"number": "1538418801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14620 ESCALANTE WAY",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341358279",
"telephone_number": "954-821-7586",
"fax_number": "239-221-8305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14620 ESCALANTE WAY",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341358279",
"telephone_number": "954-821-7586",
"fax_number": "239-221-8305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZA",
"first_name": "ROBERT",
"middle_name": "STEVEN",
"credential": "LMT,NCBTMB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-02",
"last_updated": "2012-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA67945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.