Individual provider Active NPI

Lance Bayer, PT

  • Pediatric Physical Therapist
  • Lutz, FL
National Provider Identifier
1922594597
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PTT33719 Issued in FL
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

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20181128001827 FL Practitioner - Physical Therapist in Private Practice 7618211897 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTT33719FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Doods Therapy Physical Therapist CurrentSince May 14, 2023 Accepting new patients
My Virtual Physio, LLC Physical Therapist Current Accepting new patients
Kiddotherapy LLC CurrentSince May 26, 2021 Accepting new patients
McKee Therapy Specialists, LLC CurrentSince Aug 1, 2018 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.

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.

Verify at the official NPI Registry.