Individual provider Active NPI

Eero Arviid Laukkanen, RPT

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1588062954
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0009524 Issued in FL
Practice address
7408 Lake Worth Rd
500
Lake Worth, FL 33467-2502
Phone
(561) 432-3696
NPI assigned
Dec 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0009524 FL Primary

Addresses

Primary practice location

7408 Lake Worth Rd
500
Lake Worth, FL 33467-2502

Mailing address

720 N Dixie Hwy Apt 505
505
Lantana, FL 33462-1849
Phone (561) 236-2098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150129000251 FL Practitioner - Physical Therapist in Private Practice 1153645817 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0009524FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare Institute, LLC Physical Therapist CurrentSince Dec 19, 2014 Accepting new patients
New PTRS Past Accepting new patients

Locations

7408 Lake Worth Rd
Ste 500
Lake Worth, FL 33467
Phone (561) 432-3693

231 N New York Ave
Winter Park, FL 32789
Phone (407) 599-3700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1588062954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N DIXIE HWY APT 505",
            "address_2": "505",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621849",
            "telephone_number": "561-236-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7408 LAKE WORTH RD",
            "address_2": "500",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672502",
            "telephone_number": "561-432-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUKKANEN",
        "first_name": "EERO",
        "middle_name": "ARVIID",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0009524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.