Lee Allen Greenberg, CPO/LPO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

POR 140 Issued in FL

Practice address

3343 Tampa Rd
Palm Harbor, FL 34684-3426

Phone

(727) 785-0100

Fax

(727) 785-7773

NPI assigned

Sep 11, 2007

Sex

Male

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

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1992990105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171147",
            "telephone_number": "813-985-5000",
            "fax_number": "813-985-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843426",
            "telephone_number": "727-785-0100",
            "fax_number": "727-785-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "LEE",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "CPO/LPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "FL",
            "license": "POR 140",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "FL",
            "license": "POR 140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Granite Diagnostic Laboratories, Inc.
• Alan Graves, M.D.
• James William Graybill III, MD
• Lauren Eve Greco, CNA, HHA, MED TECH
• Dustin Green, PT, DPT
• Lisa Ellen Greenfield, LAT
• Gregory R. Filion DDS PA
• Diana Beach Grello
• Theresa R Gribbin, PHYSICIAN ASSISTANT
• Randy W Griffin, DMD

• Orthotist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Orthotist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.