LAKE MARY PHYSICAL THERAPY, INC. (NPI# 1316089568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316089568 |
| Entity Type | Organization |
| Organization Name | LAKE MARY PHYSICAL THERAPY, INC. |
| Practice Address |
820 W Lake Mary Blvd Suite 102 Sanford FL 32773-5946 |
| Practice Telephone | 4073216644 |
| Practice Fax Number | 4073217309 |
| Mailing Telephone | 4073216644 |
| Mailing Fax Number | 4073217309 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY JAMES PIACENTINE (PRESIDENT) |
| Authorized Official Telephone | 4073216644 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT1410 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER NUMBER | Y922P | 01 |
| Street Address |
820 W LAKE MARY BLVD SUITE 102 |
| City | SANFORD |
| State | FL |
| Zip Code | 32773-5946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700807682 | Bayhead Eye Centre, P.a. | Optometrist | 820 W Lake Mary Blvd, Suite # 104, Sanford, FL 32773-5946 | 2006-07-23 |
| 1619339264 | Pediatricians of Florida | Pediatrics | 820 W Lake Mary Blvd, Ste 102, Sanford, FL 32773-5946 | 2016-03-23 |
| 1912362039 | Xavier Aguilera | Chiropractor | 820 W Lake Mary Blvd, #107, Sanford, FL 32773-5946 | 2015-12-16 |
| 1154724441 | Lake Mary Spine & Rehabilitation Center | Clinic/Center | 820 W Lake Mary Blvd, 107, Sanford, FL 32773-5946 | 2014-10-01 |
| 1013251032 | Yanina Genao | Chiropractor | 820 W Lake Mary Blvd, #107, Sanford, FL 32773-5946 | 2012-11-15 |
| 1477747988 | Ingrid Peterson | Optometrist | 820 W Lake Mary Blvd, Suite 104, Sanford, FL 32773-5946 | 2007-08-29 |
| 1922120294 | Heather Borgon | Optometrist | 820 W Lake Mary Blvd, Suite 104, Sanford, FL 32773-5946 | 2007-04-05 |
| 1225194665 | Holistic Wellness Now, Pa | Acupuncturist | 820 W Lake Mary Blvd, 107, Sanford, FL 32773-5946 | 2006-12-29 |
| 1942380977 | Nickeey Kissian Malcolm | Pediatrics | 820 W Lake Mary Blvd, Suite 102, Sanford, FL 32773-5946 | 2006-10-16 |
| 1316030174 | Gary James Piacentine | Physical Therapist | 820 W Lake Mary Blvd, 102, Sanford, FL 32773-5946 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962355 | United Angels Home Care Inc | In Home Supportive Care | 601 Lake Minnie Dr, # 4058, Sanford, FL 32773 | 2019-09-30 |
| 1093276537 | Hill Derm Pharmacy, Inc | Pharmacy | 3065 S. Mellonville Ave Ste B, Sanford, FL 32773 | 2019-03-27 |
| 1114446507 | Roberto Carlos Moran | Psychologist | 228 Clydesdale Circle, Sanford, FL 32773 | 2017-09-17 |
| 1316465305 | Thalia Garcia-lakongpheng | Student in an Organized Health Care Education/Training Program | 12208 Stonebrook Dr, Sanford, FL 32773 | 2017-08-30 |
| 1891211470 | Eric Manuel Castrodad Santini | Chiropractor | 820 W Lake Mary Blvd Ste 107, Sanford, FL 32773 | 2017-08-16 |
| 1306375886 | A New Beginning Family Services | Case Management | 148 Magnolia Park Trl, Sanford, FL 32773 | 2017-06-08 |
| 1427592146 | Alice Johanie Matias | Behavioral Analyst | 15208 Stonebrook Dr, Sanford, FL 32773 | 2016-12-14 |
| 1528514270 | Edward Dimauro II | Social Worker | 117 E Lake Mary Blvd, Sanford, FL 32773 | 2016-08-31 |
| 1174079420 | Beverly Glaspell | Physical Therapy Assistant | 257 Clydesdale Circle, Sanford, FL 32773 | 2016-08-28 |
| 1447607064 | Seminole Addiction Treatment Services & Counseling | Counselor | 2640 Hiawatha Avenue, Suite E, Sanford, FL 32773 | 2016-05-24 |
| Find all providers in zip 32773 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992245336 | Butler Performance Physical Therapy | Clinic/Center | 93 Wood Run, Sanford, NC 27332-6693 | 2017-03-05 |
| 1285026195 | Darlene Smith Powers | Clinic/Center | 410 Cricket Hearth Rd, Sanford, NC 27330-6335 | 2015-03-02 |
| 1245670298 | Firsthealth of The Carolinas, Inc. | Clinic/Center | 2925 Beechtree Dr Ste 145, Sanford, NC 27330-6934 | 2013-07-04 |
| 1508053489 | Performance Rehabilitation Corp. | Clinic/Center | 1408 Greenway Court, Sanford, NC 27330-6953 | 2007-09-25 |
| 1104013721 | Provisions Pediatric Therapy, LLC | Clinic/Center | 1456 Carolina Dr, Sanford, NC 27332-7341 | 2007-09-27 |
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| 1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
| 1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
| 1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
| 1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
| 1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.