Active NPI
Lawrence Joseph Wurn, LMT
- Massage Therapist
- Gainesville, FL
National Provider Identifier
1700475233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA11614
- Practice address
- 4421 NW 39TH Ave Ste 2-2
Gainesville, FL 32606-7214 - Phone
- (352) 336-1433
- Fax
- (352) 336-9980
- NPI assigned
- Jan 11, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA11614 | FL | Primary |
Addresses
Primary practice location
4421 NW 39TH Ave Ste 2-2
Gainesville, FL 32606-7214
Mailing address
4421 NW 39TH Ave Ste 2-2
Gainesville, FL 32606-7214
Phone (352) 336-1433
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 |
|---|---|---|---|
| MA11614 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Passage Therapies | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1700475233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 NW 39TH AVE STE 2-2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326067214",
"telephone_number": "352-336-1433",
"fax_number": "352-336-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 NW 39TH AVE STE 2-2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326067214",
"telephone_number": "352-336-1433",
"fax_number": "352-336-9980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURN",
"first_name": "LAWRENCE",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA11614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.