Active NPI
Laraven S Waterman, PT, DPT
- Physical Therapist
- Monterey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310451
- Practice address
- 5 Harris CT BLDG T
Monterey, CA 93940-5750 - Phone
- (831) 372-3579
- Fax
- (831) 372-3779
- NPI assigned
- Mar 15, 2022
- Last updated
- Sep 2, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5091 | AR | |
| Physical Therapist | 225100000X | PT41456 | FL | |
| Physical Therapist | 225100000X | 310451 | CA | Primary |
Addresses
Primary practice location
5 Harris CT BLDG T
Monterey, CA 93940-5750
Mailing address
5 Harris CT BLDG T
102
Monterey, CA 93940-5750
Phone (831) 372-3579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11375 Big Bend Rd
Riverview, FL 33579-7183
Phone (813) 805-8167
701 6TH St S
St Petersburg, FL 33701-4814
Phone (727) 823-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5091 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Performance and Physical Therapies-Riverview, LLC | Physical Therapist | Current | Accepting new patients |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Optimal Performance and Physical Therapies Northdale LLC | Physical Therapist | Current | Accepting new patients |
| Terrapin Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Terrapin Physical Therapy Inc PC | Physical Therapist | Past | Accepting new patients |
| Ohi West Medical Group, LLC | Past | Accepting new patients |
Locations
14004 Roosevelt Blvd
Ste 613
Clearwater, FL 33762
21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234
11375 Big Bend Rd
Riverview, FL 33579
Phone (813) 805-8167
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 7
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.
-
- Physical Therapist
- Riverview, FL
- NPI 1063810505
-
dba Bayfront Health St. Petersburg Medical Group
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1518572551
-
dba Bayfront Health St. Petersburg Imaging Center
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
-
dba Bayfront Health St. Petersburg Medical Group Urgent Care
- Urgent Care Clinic/Center
- St Petersburg, FL
- NPI 1619583184
-
- Physical Therapist
- Tampa, FL
- NPI 1740511195
-
dba Ripple Physical Therapy
- Physical Therapist
- Monterey, CA
- NPI 1306033170
-
- Physical Therapist
- Monterey, CA
- NPI 1437215654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1770231045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HARRIS CT BLDG T",
"address_2": "102",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405750",
"telephone_number": "831-372-3579",
"fax_number": "831-372-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HARRIS CT BLDG T",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405750",
"telephone_number": "831-372-3579",
"fax_number": "831-372-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERMAN",
"first_name": "LARAVEN",
"middle_name": "S",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-15",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT5091",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT41456",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "310451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.