Active NPI
Terence Lee Lawson, P.T.
- Ergonomics Physical Therapist
- Riverside, CA
National Provider Identifier
1770849788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ergonomics Physical Therapist
- License
- PT11970
- Practice address
- 7707 Broadacre PL
Riverside, CA 92504-5401 - Phone
- (800) 515-4552
- Fax
- (800) 515-4552
- NPI assigned
- Apr 3, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ergonomics Physical Therapist | 2251E1200X | PT11970 | CA | Primary |
| Ergonomics Physical Therapist | 2251E1200X | PT1761 | HI |
Addresses
Primary practice location
7707 Broadacre PL
Riverside, CA 92504-5401
Mailing address
PO Box 2367
Riverside, CA 92516-2367
Phone (800) 515-4552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 614503500 | Other | FEDERAL DEPT OF LABOR |
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 |
|---|---|---|---|
| PT11970 | CA | MD | Ergonomics Physical Therapist |
| PT1761 | HI | MD | Ergonomics Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Injury Management Services Inc | 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.
-
- Physical Therapy Clinic/Center
- Riverside, CA
- NPI 1215284666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1770849788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2367",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925162367",
"telephone_number": "800-515-4552",
"fax_number": "800-515-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 BROADACRE PL",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925045401",
"telephone_number": "800-515-4552",
"fax_number": "800-515-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "TERENCE",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "CA",
"license": "PT11970",
"primary": true
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "HI",
"license": "PT1761",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL DEPT OF LABOR",
"identifier": "614503500",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.