Active NPI
Lauren Kopelove Facemyer, DPT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1659407526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23092
- Practice address
- 1205 Monument Rd
Suite 202
Jacksonville, FL 32225-7406 - Phone
- (904) 725-9994
- NPI assigned
- Feb 26, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23092 | FL | Primary |
Addresses
Primary practice location
1205 Monument Rd
Suite 202
Jacksonville, FL 32225-7406
Mailing address
371 Stonehurst Pkwy
St Augustine, FL 32092-5017
Phone (904) 347-4534
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 |
|---|---|---|---|
| 23092 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659407526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 STONEHURST PKWY",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320925017",
"telephone_number": "904-347-4534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 MONUMENT RD",
"address_2": "SUITE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322257406",
"telephone_number": "904-725-9994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACEMYER",
"first_name": "LAUREN",
"middle_name": "KOPELOVE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "23092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.