Lba Medical Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT000008620 Issued in TN

Legal business name

LBA MEDICAL SERVICES LLC

Practice address

200 Sanitarium Circle
Dayton, TN 37321

Phone

(423) 775-0771

Fax

(423) 834-9059

NPI assigned

Dec 20, 2011

Last updated

Mar 15, 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

Keith Wellman, RN

Title

Administrator

Phone

(423) 775-0771

Specialties & licenses 2

Addresses

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.

• Rodney Lynn Herra Jr.

  • Physical Therapy Assistant
  • Dayton, TN
  • NPI 1932512290
  NPD (past)

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1922377019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CAMPUS DR",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "37321",
            "telephone_number": "423-775-3336",
            "fax_number": "423-775-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SANITARIUM CIRCLE",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "37321",
            "telephone_number": "423-775-0771",
            "fax_number": "423-834-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBA MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "WELLMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-775-0771",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT000008620",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT000004463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Layne Kinzalow, PT
• L M Smith Center for Dental Health
• Paige Lamphier
• Edmund Lane, MD
• Laurelbrook Sanitarium and School (Laurelbrook Nursing Home)
• Jennifer Aileen Lee, MD
• Christina Lequan, PA
• Elizabeth Anne Lewis, MA, ATC, LAT
• Hailey K Liew, NP
• Greg Palmer Lindley, MPT

• Physical Therapist in Dayton, TN
• Providers in Dayton, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.