Active NPI
Maria Liezl Geli Andool, P.T.
- Physical Therapist
- Lake Placid, FL
National Provider Identifier
1689701336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 23110
- Practice address
- 204 US Highway 27 North
Lake Placid, FL 33852-5655 - Phone
- (863) 465-9500
- Fax
- (863) 465-9542
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PT 23110 | FL | Primary |
Addresses
Primary practice location
204 US Highway 27 North
Lake Placid, FL 33852-5655
Mailing address
427 Lake June Dr
Lake Placid, FL 33852-5655
Phone (863) 202-5269
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 |
|---|---|---|---|
| PT 23110 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689701336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 LAKE JUNE DR",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338525655",
"telephone_number": "863-202-5269",
"fax_number": "863-471-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 US HIGHWAY 27 NORTH",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338525655",
"telephone_number": "863-465-9500",
"fax_number": "863-465-9542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDOOL",
"first_name": "MARIA LIEZL",
"middle_name": "GELI",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 23110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.