Levitate Physical Therapy and Sports Performance

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LEVITATE PHYSICAL THERAPY AND SPORTS PERFORMANCE

Practice address

737 S State College Blvd Ste 90
Fullerton, CA 92831-5128

Phone

(714) 202-7424

NPI assigned

Oct 10, 2024

Organization subpart

No

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

Authorized official

Name

Michale Wayne Hamlin, DPT, PTNPI 1932777604

Title

Owner, Physical Therapist

Phone

(714) 202-7424

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.

• Michale Wayne Hamlin

  • Physical Therapist
  • Foothill Ranch, CA
  • NPI 1932777604
  NPD Authorized official

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1881413318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 S STATE COLLEGE BLVD STE 90",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315128",
            "telephone_number": "714-202-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 S STATE COLLEGE BLVD STE 90",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315128",
            "telephone_number": "714-202-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVITATE PHYSICAL THERAPY AND SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "MICHALE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "714-202-7424",
        "authorized_official_credential": "DPT, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie T. Lee Professional Chiropractic Corporation (Pleasant Chiropractic)
• Alex Leung, M.D
• Lawrence Ginwung Leung, MSW
• Alicia M Lever, NP
• Samuel Thomas Levine
• Kathy Mackie Lewczyk, MFT
• Delaney Susan Lewellyn
• Sharon Lewis-Bultsma, PSY.D.
• Alia Marguerite Lewis
• Jerald Lewis, CADC II

• Physical Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.