Lance D Doeble, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22824 Issued in FL

Practice address

2200 Kings Hwy Unit 2F
Port Charlotte, FL 33980-5760

Phone

(941) 888-4561

Fax

(941) 347-4695

NPI assigned

Sep 23, 2008

Last updated

Jul 28, 2020By the provider in NPPES

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peace River Physical Therapy & Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Port Charlotte, FL
  • NPI 1285104828

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Elite Physical Therapy & Rehab, Inc.

  • Physical Therapy Clinic/Center
  • Port Charlotte, FL
  • NPI 1255660619

  Physical Therapist

  NPD (past)
• Physical Therapy on Demand Inc

  • Physical Therapist
  • Punta Gorda, FL
  • NPI 1639356009
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1821248170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 KINGS HWY UNIT 2F",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805760",
            "telephone_number": "941-888-4561",
            "fax_number": "941-444-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KINGS HWY UNIT 2F",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805760",
            "telephone_number": "941-888-4561",
            "fax_number": "941-347-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEBLE",
        "first_name": "LANCE",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya Dixon, BEHAVIOR TECHNICIAN
• DME Plus Inc
• Dna Comprehensive Therapy Services, LLC (Elite Dna Therapy Services, LLC)
• Dna Comprehensive Therapy Services, LLC
• Dna Comprehensive Therapy Services, LLC (Elite DNA Therapy Services, LLC)
• Denia A Dolz-Amiot
• Domahn, Inc
• Andrea B. Dombrowski, LCSW
• Lisa Mary Dominach, ARNP
• Domingo E Galliano Jr PA

• Physical Therapist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.