Active NPI
Joannes Maria Claessens, P.T.
- Physical Therapist
- Lake Mary, FL
National Provider Identifier
1700996360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT16865
- 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
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 | 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
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
| Organization | Specialty | Status | New 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.