Active NPI
Lance Bayer, PT
- Pediatric Physical Therapist
- Lutz, FL
National Provider Identifier
1922594597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PTT33719
- Practice address
- 18860 N Dale Mabry Hwy
Lutz, FL 33548-4978 - Phone
- (813) 693-4000
- NPI assigned
- Jul 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTT33719 | FL | |
| Pediatric Physical Therapist | 2251P0200X | PTT33719 | FL | Primary |
Addresses
Primary practice location
18860 N Dale Mabry Hwy
Lutz, FL 33548-4978
Mailing address
2400 Feather Sound Dr Apt 1031
Clearwater, FL 33762-3094
Phone (770) 362-0854
Other practice location 1
3440 W Mlk Blvd
Tampa, FL 33607-6223
Phone (813) 910-5140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTT33719 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Doods Therapy | Physical Therapist | Current | Accepting new patients |
| My Virtual Physio, LLC | Physical Therapist | Current | Accepting new patients |
| Kiddotherapy LLC | Current | Accepting new patients | |
| McKee Therapy Specialists, LLC | Current | Accepting new patients | |
| Pediatric Physician Services, Inc. | Past | Accepting new patients |
Locations
18860 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 347-2539
Organizations & group practices 5
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.
-
- Occupational Therapist
- Tampa, FL
- NPI 1457898405
-
- Physical Therapy Clinic/Center
- Lutz, FL
- NPI 1619333994
-
- Physical Therapist
- Clearwater, FL
- NPI 1447980743
-
- Physical Therapist
- Tampa, FL
- NPI 1679214951
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1922594597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 FEATHER SOUND DR APT 1031",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337623094",
"telephone_number": "770-362-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18860 N DALE MABRY HWY",
"city": "LUTZ",
"state": "FL",
"postal_code": "335484978",
"telephone_number": "813-693-4000"
}
],
"practiceLocations": [
{
"address_1": "3440 W Mlk Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076223",
"country_code": "US",
"telephone_number": "813-910-5140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAYER",
"first_name": "LANCE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-07",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PTT33719",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PTT33719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.