Lito B Villanueva, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

24312 Issued in FL

Practice address

12622 Portmarnock Dr
Odessa, FL 33556-5414

Phone

(573) 353-0285

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Rehab Solutions,LLC

  • Physical Therapist
  • Jefferson Cty, MO
  • NPI 1750553913
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1801914031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12622 PORTMARNOCK DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565414",
            "telephone_number": "573-353-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12622 PORTMARNOCK DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565414",
            "telephone_number": "573-353-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "LITO",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "02207",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "24312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherrell Turley, OTA
• U Thrive
• Lindsey Valancius
• Valora Living Services LLC
• Vaxonsite, LLC
• Onier Villarreal Alejandro, M.D.
• Natricia Wade
• Karyn Walters
• Kimberly Walters
• Maggie Lavin Weeks, ARNP

• Geriatric Physical Therapist in Odessa, FL
• Providers in Odessa, FL by specialty
• Geriatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.