Lavie Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OT11464 Issued in FL

Legal business name

LAVIE REHAB

Practice address

636 Tyndall Pkwy
Panama City, FL 32404

Phone

(850) 871-6363

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Kristen James Jackson, OTR/L

Title

Occupational Therapist

Phone

(850) 832-8071

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1770855934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 HIGHLAND MANOR DR",
            "address_2": "STE 270",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 TYNDALL PKWY",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32404",
            "telephone_number": "850-871-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVIE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "850-832-8071",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "OT11464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Laufer, M.ED., C.R.C., C.V.E
• Jennifer Marie Laufman
• Laurelpharm LLC
• Laurie Dawson Adult Family Care
• Lavie Rehab
• Faith Lawhorn
• Terri Joyce Lawson, L.M.T.
• Sally Renee Lawton, NP-C
• Shannon Lawton
• Teresa Lawton, LMHC

• Skilled Nursing Facility in Panama City, FL
• Providers in Panama City, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.