Marc Lalonde, PTA, CKTP

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA19787 Issued in FL

Practice address

1881 NE 26TH St Ste 101
Wilton Manors, FL 33305-1427

Phone

(954) 821-0271

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Physio Rehab Consulting, Inc

  • Internal Medicine Physician
  • Wilton Manors, FL
  • NPI 1255753885
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387843200000",
    "number": "1790837631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST STE 101",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051427",
            "telephone_number": "954-821-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST STE 101",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051427",
            "telephone_number": "954-821-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALONDE",
        "first_name": "MARC",
        "name_prefix": "Mr.",
        "credential": "PTA, CKTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Leigh Koutalidis, DC
• William John Krantz, P.A.
• George Thomas Kress, RPH
• La Clinique 300 Inc
• Richard Dexter Ladner, RPH
• Lampasas, Inc
• Jason William Lane, M.D.
• Cub Joseph Larkin, M.S., NCC
• Las Olas Medical Group & Spa
• Las Olas Urgent Care

• Physical Therapy Assistant in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; 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.