Lavie Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

FL OTA 303 Issued in FL

Legal business name

LAVIE REHAB

Practice address

626 N Tyndall Pkwy
Panama City, FL 32404-6132

Phone

(850) 871-3836

NPI assigned

Jan 15, 2012

Last updated

Jan 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris A Manfredi

Title

Cota/L

Phone

(850) 819-4911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326585600000",
    "number": "1568733020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 FLIGHT AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324045967",
            "telephone_number": "850-819-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N TYNDALL PKWY",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046132",
            "telephone_number": "850-871-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVIE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-15",
        "last_updated": "2012-01-15",
        "status": "A",
        "authorized_official_last_name": "MANFREDI",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "850-819-4911"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "FL OTA 303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tymesha Lasley
• Elena Laufer, M.ED., C.R.C., C.V.E
• Jennifer Marie Laufman
• Laurelpharm LLC (In House Phcy Solutions)
• Laurie Dawson Adult Family Care
• Lavie Rehab
• Faith Lawhorn
• Terri Joyce Lawson, L.M.T.
• Sally Renee Lawton, NP-C
• Shannon Lawton

• Skilled Nursing Facility in Panama City, FL
• Providers in Panama City, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.