Active NPI
Lake Area Physical Therapy Inc
- Physical Therapist
- Gainesville, FL
National Provider Identifier
1831446087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LAKE AREA PHYSICAL THERAPY INC
- Practice address
- 6821 NW 11TH PL
Gainesville, FL 32605-4216 - Phone
- (352) 475-3113
- Fax
- (475) 475-5796
- NPI assigned
- Aug 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Laura Hodges
- Title
- Owner
- Phone
- (352) 475-3113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
6821 NW 11TH PL
Gainesville, FL 32605-4216
Mailing address
PO Box 1099
Melrose, FL 32666-1099
Phone (352) 475-3113
National Provider Directory
National Provider Directory- Tax ID family
- Lake Area Physical Ther
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Keystone Heights, FL
- NPI 1316212475
-
- Physical Therapist
- Starke, FL
- NPI 1396010450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344297600000",
"number": "1831446087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1099",
"city": "MELROSE",
"state": "FL",
"postal_code": "326661099",
"telephone_number": "352-475-3113",
"fax_number": "352-475-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6821 NW 11TH PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054216",
"telephone_number": "352-475-3113",
"fax_number": "475-475-5796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE AREA PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-07",
"last_updated": "2012-08-07",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-475-3113",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.