Lady Michelle Servillas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21805 Issued in FL

Practice address

4050 NE 30TH Ave
Lighthouse Point, FL 33064-8424

Phone

(305) 318-5115

Fax

(888) 506-5776

NPI assigned

Jan 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lady Michelle Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 1St Care of Naples

  dba ServCare

  • Home Health Agency
  • Bonita Springs, FL
  • NPI 1518566249
  NPD Authorized official
• Care 1St of Orlando Inc

  • Home Health Agency
  • Winter Park, FL
  • NPI 1194330803
  NPD (past) Authorized official
• Servcare Therapy Inc

  • Physical Therapist
  • Lighthouse Point, FL
  • NPI 1497353320
  Authorized official Same address or phone
• Conquest Home Care Plus, Inc.

  • Home Health Agency
  • Tamarac, FL
  • NPI 1205060472
  NPD (past)
• Medicus Diagnostic Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Boca Raton, FL
  • NPI 1457515793
  NPD (past)
• Nation's Best Care Home Health Corp

  • Home Health Agency
  • Miami, FL
  • NPI 1316983455
  NPD (past)
• Nationwide Mobility Inc.

  • Durable Medical Equipment & Medical Supplies
  • Delray Beach, FL
  • NPI 1205077872
  NPD (past)
• Professional Nurses Homecare, Inc.

  • Home Health Agency
  • Delray Beach, FL
  • NPI 1710265129
  NPD (past)

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1689725186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 NE 30TH AVE",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648424",
            "telephone_number": "305-318-5115",
            "fax_number": "561-431-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 NE 30TH AVE",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648424",
            "telephone_number": "305-318-5115",
            "fax_number": "888-506-5776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Prairie Key Rd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334066713",
            "country_code": "US",
            "telephone_number": "561-667-5086",
            "fax_number": "866-337-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERVILLAS",
        "first_name": "LADY",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21805",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "21805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LADY",
            "last_name": "JONES",
            "middle_name": "MICHELLE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sassifeet LLC
• Michael Sassine, D.P.M.
• Sedation Dental Spa of South Florida, LLC (Michael A. Gorman DMD)
• Jill Ann Selbach, PH.D.
• Servcare Therapy Inc
• Omid M Seylabi, MD
• John F Shaw, M.D.
• Eileen M Shea, RBT
• Sophonie Simeon
• Jacqueline Deborah Simon, APRN, PMHNP-BC

• Physical Therapist in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.