Individual provider Active NPI

Terence Lee Lawson, P.T.

  • Ergonomics Physical Therapist
  • Riverside, CA
National Provider Identifier
1770849788
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ergonomics Physical TherapistTaxonomy code 2251E1200X
License
PT11970 Issued in CA
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

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
614503500OtherFEDERAL 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

LicenseStateTypeSpecialty
PT11970CAMDErgonomics Physical Therapist
PT1761HIMDErgonomics Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.