Individual provider Active NPI

Joannes Maria Claessens, P.T.

  • Physical Therapist
  • Lake Mary, FL
National Provider Identifier
1700996360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16865 Issued in FL
Practice address
770 Keeneland Pike
Lake Mary, FL 32746-3951
Phone
(407) 321-8833
Fax
(407) 322-8866
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT16865 FL Primary

Addresses

Primary practice location

770 Keeneland Pike
Lake Mary, FL 32746-3951

Mailing address

770 Keeneland Pike
Lake Mary, FL 32746-3951
Phone (407) 321-8833

Other names 1

  • Mr. Jon Maria Claessens Other name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Supreme Therapy, LLC Physical 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700996360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 KEENELAND PIKE",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463951",
            "telephone_number": "407-321-8833",
            "fax_number": "407-322-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 KEENELAND PIKE",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463951",
            "telephone_number": "407-321-8833",
            "fax_number": "407-322-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAESSENS",
        "first_name": "JOANNES",
        "middle_name": "MARIA",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JON",
            "last_name": "CLAESSENS",
            "middle_name": "MARIA",
            "prefix": "MR.",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Mary, 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.

Verify at the official NPI Registry.