Active NPI
Calvin Luther Gavilan Lagman, PT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1942631148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1238640
- Practice address
- 12124 High Tech Ave Ste 300
Orlando, FL 32817-8374 - Phone
- (800) 774-7785
- NPI assigned
- Dec 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1238640 | TX | Primary |
Addresses
Primary practice location
12124 High Tech Ave Ste 300
Orlando, FL 32817-8374
Mailing address
2101 Harvey Mitchell Pkwy S
Apartment 204
College Station, TX 77840-5257
Phone (979) 481-7029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phil&Neet Enterprises LLC | Physical Therapist | Current | Accepting new patients |
| Inspire Physical Therapy | Current | Accepting new patients |
Locations
3030 E 29th St
Ste 119
Bryan, TX 77802
Phone (979) 721-4225
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- College Station, TX
- NPI 1528309119
-
- Physical Therapist
- Bryan, TX
- NPI 1295411379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1942631148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 HARVEY MITCHELL PKWY S",
"address_2": "APARTMENT 204",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778405257",
"telephone_number": "979-481-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12124 HIGH TECH AVE STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178374",
"telephone_number": "800-774-7785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGMAN",
"first_name": "CALVIN LUTHER",
"middle_name": "GAVILAN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-12",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1238640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.