Active NPI
Lynette Marie Chorba, DPT
- Pediatric Physical Therapist
- Coral Springs, FL
National Provider Identifier
1619139003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 24082
- Practice address
- 7522 Wiles Rd Ste 208
Coral Springs, FL 33067-2056 - Phone
- (954) 840-0556
- NPI assigned
- Jun 27, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 24082 | FL | Primary |
Addresses
Primary practice location
7522 Wiles Rd Ste 208
Coral Springs, FL 33067-2056
Mailing address
315 NE 3Rd Ave Apt 1707
Fort Lauderdale, FL 33301-1682
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 |
|---|---|---|---|
| 24082 | FL | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1619139003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 NE 3RD AVE APT 1707",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333011682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7522 WILES RD STE 208",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330672056",
"telephone_number": "954-840-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHORBA",
"first_name": "LYNETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "24082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.