David Lackenby, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7411 Issued in FL

Practice address

7331 College Pkwy Ste 300
Fort Myers, FL 33907-5524

Phone

(239) 337-2003

Fax

(239) 337-3168

NPI assigned

Jul 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joint Implant Surgeons of Florida PAGroup PAC ID 7911909510, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Joint Implant Surgeons of Florida PA

  • Pain Medicine (Anesthesiology) Physician
  • Fort Myers, FL
  • NPI 1508872839
  Medicare reassignment Care Compare group NPD
• Joint Implant Surgeons of Florida PA

  • Orthopaedic Surgery Physician
  • Naples, FL
  • NPI 1184196628
  NPD

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1942439294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 TROPICAL DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191729",
            "telephone_number": "239-565-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 COLLEGE PKWY STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075524",
            "telephone_number": "239-337-2003",
            "fax_number": "239-337-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKENBY",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "7411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882708700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanine Laboy, APN
• Emilou B Labrador, OT
• Howell S Labrador, PT
• Melody Labriola, PSYD
• Stephanie Monique Lacer, PHARMDD
• Michael Lacorte, MD
• Christopher John Lacosse, RN
• Leticia D Lacson, MD
• Courtney Erin Lacy, PA-S
• Kerstin Mareike Ladage, OTR

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.