Exos Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23805 Issued in FL

Legal business name

EXOS PHYSICAL THERAPY

Practice address

16627 Fishhawk Blvd # 103
Lithia, FL 33547-3800

Phone

(941) 960-5003

NPI assigned

May 31, 2017

Last updated

May 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Graeme Lauriston, DPT

Title

Director of Physical Therapy

Phone

(941) 960-5003

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James A Godin, PT

  • Physical Therapist
  • Lithia, FL
  • NPI 1699906982
  NPD (past)

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1881122190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 CREW CT",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432300",
            "telephone_number": "941-960-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16627 FISHHAWK BLVD # 103",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473800",
            "telephone_number": "941-960-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "LAURISTON",
        "authorized_official_first_name": "GRAEME",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "941-960-5003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Eisenberg, PHARM.D.
• Kelli Brielle Ericksen, RBT
• Daniel Hugo Espinoza, MD
• Christine Estrabao
• Hayden Euper, PT, DPT
• Lauren Fago
• Famouspeopleseyewearandkidzbizinc
• William Travis Fann, MS,ATC,PA-C
• Margaret-Mary Fay
• Kehydelies Fernandez Lind

• Physical Therapist in Lithia, FL
• Providers in Lithia, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.