Kim Laguna, PTA, CLT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

303 SW 6TH Street
Fort Lauderdale, FL 33315

Phone

(754) 422-7316

NPI assigned

Mar 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Wise ABA LLC

  • Behavior Analyst
  • Fort Lauderdale, FL
  • NPI 1851123228
  NPD

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1942626288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14655 VIA TIVOLI CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333256917",
            "telephone_number": "754-422-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SW 6TH STREET",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33315",
            "telephone_number": "754-422-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUNA",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "PTA, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2024-09-04",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "174400000X",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berenise Lafrance, MD
• Herard Lafrance, ARNP
• Miviala Lago Fernandez
• Nicholas Lago
• Catharine N Lagrange, ATC
• Gary Lai, D.O.
• Lindsey Lee Lair, MD
• Patrick Laird, DO
• Mikhailia Wanakee Lake, MD
• Lakhani RX Inc (Garden Drug)

• Physical Therapy Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.