Active NPI
Lynn Sanford, LPTA
- Physical Therapy Assistant
- Venice, FL
National Provider Identifier
1942958137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA19753
- Practice address
- 841 Venetia Bay Blvd
Venice, FL 34285-8038 - Phone
- (941) 244-4288
- NPI assigned
- Mar 16, 2022
- Last updated
- Mar 16, 2022
- Sex
- Female
- 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 Therapy Assistant | 225200000X | PTA19753 | FL | Primary |
Addresses
Primary practice location
841 Venetia Bay Blvd
Venice, FL 34285-8038
Mailing address
1964 Havelock Ave
North Port, FL 34286-6850
Phone (330) 704-6424
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Laptop |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA19753 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1942958137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1964 HAVELOCK AVE",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342866850",
"telephone_number": "330-704-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 VENETIA BAY BLVD",
"city": "VENICE",
"state": "FL",
"postal_code": "342858038",
"telephone_number": "941-244-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "LYNN",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA19753",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Laptop",
"affiliation": "N",
"address_1": "841 Venetia Bay Blvd",
"city": "Venice",
"state": "FL",
"country_code": "US",
"postal_code": "342858038",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Venice, FL
- Caridad Sun Sanchez, M.D.
- Eduardo H Sanchez, M.D.
- Charles Jeffrey Sandoz, PH.D.
- Sandra Johnson-Hill (Women's Wellness Massage Therapy)
- Denise L Sanfilippo, LCSW
- Allan Manuel Santos, BS PHARMACY
- Sandra Sarakinis
- Sarasota County Health Department (South County Family Health Center Pharmacy)
- Sarasota County Public Hospital District
- Sarasota County Public Hospital District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.