Laurel Physical Therapy Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

P1300025007

Legal business name

LAUREL PHYSICAL THERAPY INC

Practice address

433 N Causeway
New Smyrna, FL 32169-5266

Phone

(386) 679-5471

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Carol Weightman

Title

Co-Owner/Director

Phone

(386) 426-8327

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1639513518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CANAL ST STE D",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321687076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N CAUSEWAY",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321695266",
            "telephone_number": "386-679-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "WEIGHTMAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CO-OWNER/DIRECTOR",
        "authorized_official_telephone_number": "386-426-8327"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": "P1300025007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Patrick Hassett
• Island Doctors of New Smyrna Beach LLC
• Island Doctors of New Smyrna Beach Medical Center LLC
• Kyle Robert Jones, DPT
• Robert Eric Kraemer, ARNP
• Tayanna Giselle Lawlor, FNP-BC
• Symantha Leventhal, MOTR/L
• Perry Dean Lewis, ARNP
• Christina Jean Lindler, LPN
• Sydney Major, MA, BCBA

• Health Maintenance Organization in New Smyrna, FL
• Providers in New Smyrna, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.