Anthony Lanzillotti, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.010245 Issued in IL

Practice address

1 Saint John'S Medical Park Drive
Saint Augustine, FL 32086

Phone

(904) 217-0520

Fax

(904) 826-0966

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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 IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fyzical Gurnee Clinical PLLCGroup PAC ID 2668828443, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Fyzical Gurnee Clinical PLLC

  • Physical Therapy Clinic/Center
  • Gurnee, IL
  • NPI 1134904220

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Global Rehabilitation Clinic, SC

  • Clinic/Center
  • Niles, IL
  • NPI 1023101060

  Physical Therapist

  Medicare reassignment NPD
• Satosan LLC

  • Physical Therapy Clinic/Center
  • Gurnee, IL
  • NPI 1134822265
  NPD
• Accelerated Rehabilitation Centers LTD

  • Physical Therapist
  • Westmont, IL
  • NPI 1205875713
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1851311229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8269 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141156",
            "telephone_number": "904-217-0520",
            "fax_number": "904-826-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT JOHN'S MEDICAL PARK DRIVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-217-0520",
            "fax_number": "904-826-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZILLOTTI",
        "first_name": "ANTHONY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.010245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Lanford, M.S.
• Jack A Langlois, RPH
• Tracy Yvonne Langston
• Kierstyn Lanski, RBT
• Wendy Lantz, APRN
• Ginger Merri Lape
• Jennifer F. Laporte, L.C.S.W.
• Juan Larroude, MD
• Larry D Mastrogianakis, MD Pediatric and Adolescent Medicine
• Joshua Lasoff, DPT

• Physical Therapist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.