Laura Ann Wozniak, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0009946 Issued in FL

Practice address

770 Keeneland Pike
Lake Mary, FL 32746-3951

Phone

(866) 650-7150

Fax

(866) 650-7150

NPI assigned

Feb 2, 2008

Last updated

Feb 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Laura Ann Van Dalen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supreme Therapy, LLC

  • Occupational Therapist
  • Lake Mary, FL
  • NPI 1225143647

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201910400000",
    "number": "1548448491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12543 WINFIELD SCOTT BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375095",
            "telephone_number": "321-436-3751",
            "fax_number": "321-206-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 KEENELAND PIKE",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463951",
            "telephone_number": "866-650-7150",
            "fax_number": "866-650-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-02",
        "last_updated": "2008-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "0009946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "VAN DALEN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Womens Health Center of Central Florida LLC
• Womens Health Centers of Florida, Inc
• Shaneedah Wood
• Frank Woodard
• Adam Woodhead, DPT
• Wpi Acquisition Corp. (Woodbury Health Products)
• Laurie L Wren, LCSW
• Adekia Brianna Wright, RBT
• Catherine Wright
• Jalisa Wright, RBT

• Physical Therapist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; 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.