Active NPI
Dave Lessard
- Physical Therapist
- Naples, FL
National Provider Identifier
1982035317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 28878
- Practice address
- 1236 Airport Pulling Rd N
Naples, FL 34104-6128 - Phone
- (239) 249-9207
- NPI assigned
- Dec 11, 2013
- Last updated
- Feb 5, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-4092 | HI | |
| Physical Therapist | 225100000X | PT28878 | FL | |
| Physical Therapist | 225100000X | PT 28878 | FL | Primary |
Addresses
Primary practice location
1236 Airport Pulling Rd N
Naples, FL 34104-6128
Mailing address
1236 Airport Pulling Rd N
Naples, FL 34104-6128
Phone (239) 249-9207
Other practice location 1
99-128 Aiea Heights Dr
Suite 207
Aiea, HI 96701-3925
Phone (808) 487-0487
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 28878 | FL | MD | Physical Therapist |
| PT28878 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthosport Physical Therapy | Current | Accepting new patients |
Locations
5722 Kalanianaole Hwy
Honolulu, HI 96821
Phone (808) 373-1114
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Honolulu, HI
- NPI 1811585524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1982035317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 AIRPORT PULLING RD N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341046128",
"telephone_number": "239-249-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 AIRPORT PULLING RD N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341046128",
"telephone_number": "239-249-9207"
}
],
"practiceLocations": [
{
"address_1": "99-128 Aiea Heights Dr",
"address_2": "Suite 207",
"address_purpose": "LOCATION",
"city": "Aiea",
"state": "HI",
"postal_code": "967013925",
"country_code": "US",
"telephone_number": "808-487-0487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESSARD",
"first_name": "DAVE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-11",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-4092",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT28878",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 28878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.