MR. ADAM FAGAN (NPI# 1649836180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649836180 |
| Entity Type | Individual |
| Full Name | MR. ADAM FAGAN |
| Credential | DPT |
| Practice Address |
2300 E County Road 540a Lakeland FL 33813-3825 |
| Mailing Address |
1600 Lakeland Hills Blvd Lakeland FL 33805-3019 |
| Practice Telephone | 8636073739 |
| Practice Fax Number | 8662648519 |
| Mailing Telephone | 8636807000 |
| Mailing Fax Number | 8662648519 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT34128 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649654609 | Adam James Fagan | Physical Therapist | 19461 Westling Dr, Oregon City, OR 97045-6913 | 2015-07-18 |
| Street Address |
2300 E COUNTY ROAD 540A |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891786075 | Steven Andrew Barna | Anesthesiology | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2005-11-04 |
| 1144786187 | Brooke Lindsey Bambridge | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2019-02-14 |
| 1023572757 | Stephen Lagor | Physical Therapist | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2019-01-28 |
| 1679061691 | Amanda Avery Lewis | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2018-04-25 |
| 1386169357 | Holly Christine Payne | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2017-08-10 |
| 1881127355 | Olga Maria Medina | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2017-04-11 |
| 1821531583 | Brooke Livingston | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2016-11-29 |
| 1467906628 | Michael Ryan Ward | Physical Therapist | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2016-08-05 |
| 1720467657 | Italia Ramona Stuart | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2015-05-26 |
| 1760879464 | Holly Cunneen | Pediatrics | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2015-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400395 | Morgan Musselwhite | Physical Therapist | 4720 Cleveland Heights Blvd Ste 101, Lakeland, FL 33813-2244 | 2020-09-02 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1629626791 | Motion 4 Kids | Physical Therapist | 11680 Lakeland Acres Rd, Lakeland, FL 33810-1006 | 2019-08-30 |
| 1700358900 | Lauren Marie Morra | Physical Therapist | 404 Hibriten Way, Lakeland, FL 33803-2228 | 2018-12-28 |
| 1275024325 | Dhruvkumar Patel | Physical Therapist | 5526 Vintage View Pass, Lakeland, FL 33812-4061 | 2018-05-24 |
| 1962919852 | Jessica Alexandrea Klecki | Physical Therapist | 130 S Mass Ave Ste 601, Lakeland, FL 33801-5021 | 2018-01-02 |
| 1508378290 | Optimal Performance and Physical Therapies Lakeland, LLC | Physical Therapist | 4525 S Florida Ave Ste 25, Lakeland, FL 33813-2184 | 2017-11-02 |
| 1073022083 | Odeeline Soriano | Physical Therapist | 1325 Grasslands Blvd Apt 113, Lakeland, FL 33803-5443 | 2017-09-21 |
| 1407212244 | Ramir Bautista Soriano | Physical Therapist | 5634 Hillview Ct, Lakeland, FL 33810-3246 | 2016-01-09 |
| 1548679616 | Ashley Frances Hamarowicz | Physical Therapist | 771 Carpenters Way, Lakeland, FL 33809 | 2014-08-04 |
| Find all providers in LAKELAND | ||||
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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.