Lake Worth Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12925 Issued in FL

Legal business name

LAKE WORTH PHYSICAL THERAPY INC

Practice address

3400 Jog Rd
Greenacres, FL 33467-2080

Phone

(561) 317-1374

Fax

(561) 641-3909

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

Mr. Noel S Sison, PTNPI 1417069527

Title

President

Phone

(561) 317-1374

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noel S Sison, PT

  • Physical Therapist
  • Greenacres, FL
  • NPI 1417069527
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659483758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672080",
            "telephone_number": "561-317-1374",
            "fax_number": "561-641-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672080",
            "telephone_number": "561-317-1374",
            "fax_number": "561-641-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WORTH PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SISON",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-317-1374",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GR",
            "identifier": "Y905J",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Worth Family Dentistry, PA
• Lake Worth Medical & Rehab, LLC
• Lake Worth Medical Clinic Corp
• Lake Worth Medical PA
• Lake Worth Modern Dentistry, PA (Lake Worth Modern Dentistry)
• Emma Lam
• Stecy Melissa Lambert
• Jean-Michel Lamour, MD
• Nora Lara
• Larry Hawkins D.C., P.a. (Greenacres Chiropractic)

• Physical Therapist in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.