Fossitt Therapy Services, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

PT 19048 Issued in FL

Legal business name

FOSSITT THERAPY SERVICES, INC.

Practice address

2015 S Maple Ave
Sanford, FL 32771-3361

Phone

(407) 328-5420

Fax

(407) 328-5430

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence Allen Fossitt, MPTNPI 1346310026

Title

President

Phone

(407) 328-5420

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Allen Fossitt, M.P.T., C.F.M.T.

  • Physical Therapist
  • Sanford, FL
  • NPI 1346310026
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1811940471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 BRASSINGTON DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132138",
            "telephone_number": "407-792-8590",
            "fax_number": "407-328-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 S MAPLE AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327713361",
            "telephone_number": "407-328-5420",
            "fax_number": "407-328-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSSITT THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "FOSSITT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-328-5420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "PT 19048",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "OT 10292",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "SA 1721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Family Speech Therapy LLC
• Florida Oral Surgery Inc
• Florida United Radiology LC
• Sarah Folan, RDH
• Sarah Foss
• Lawrence Allen Fossitt, M.P.T., C.F.M.T.
• Four Seasons Alf Dba Sanford Manor Alf
• Four Seasons Alf Inc
• Bonnie Jean Francl, PT, DPT, LAT, ATC
• Marta Franco

• Multi-Specialty Clinic/Center in Sanford, FL
• Providers in Sanford, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.