PO-Nan Lai, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27376 Issued in FL

Practice address

2501 S Volusia Ave
Orange City, FL 32763-9134

Phone

(386) 774-6333

NPI assigned

Jan 25, 2012

Last updated

Feb 22, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1972874790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CALABRIA SPRINGS CV",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718850",
            "telephone_number": "646-301-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639134",
            "telephone_number": "386-774-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "PO-NAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032730",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Eban Lackey, OTR/L
• Lad Imaging, LLC (no dba LAD Imaging , LLC (Orange City))
• Kathrine Lafond-Poli
• Breanne Lagg, RBT
• Michael Lagoe
• Aaron Quoc Lam, PHARMD
• Cathleen Quach Landers, D.C.
• Samantha Renee Landschoot
• Michele Ann Langrick, MA, LMHC, BCPC
• Jada Lao

• Physical Therapist in Orange City, FL
• Providers in Orange City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.