LW PEDS PT, LLC (NPI# 1255832291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255832291 |
| Entity Type | Organization |
| Organization Name | LW PEDS PT, LLC |
| Practice Address |
2900 Pickfair St Orlando FL 32803-6829 |
| Practice Telephone | 3214273817 |
| Mailing Telephone | 3214273817 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Authorized Official Name | DR. LINDLEY WESTERVELT (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3214273817 |
| Authorized Official Credential | PT, PCS, ATP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT26434 | FL | Ambulatory Health Care Facilities |
| Street Address |
2900 PICKFAIR ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-6829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134781966 | Core Values Physical Therapy and Wellness, Pllc | Clinic/Center | 6765 Narcoossee Rd, Orlando, FL 32822-5508 | 2019-07-02 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| 1851726012 | Physical Therapy Specialists of Hunters Creek, LLC | Clinic/Center | 14115 Town Loop Blvd, Suite 200, Orlando, FL 32837-4839 | 2013-09-06 |
| 1891072096 | Prestige Massage & Rehab Center, LLC | Clinic/Center | 2614 E Colonial Dr, Suite 400-5, Orlando, FL 32803-5028 | 2011-11-16 |
| 1205115144 | Allin Physical Therapy, LLC | Clinic/Center | 10395 Narcoossee Rd, Suite E, Orlando, FL 32832-6939 | 2011-08-10 |
| 1104053115 | Orange Medical Spa, LLC | Clinic/Center | 5740 Old Cheney Hwy, Orlando, FL 32807-3525 | 2009-06-17 |
| 1205020682 | Philip Joseph Verstegen | Clinic/Center | 2248 Saw Palmetto Ln, 116, Orlando, FL 32828-4646 | 2007-08-29 |
| 1972646396 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 1701 Park Center Dr, Suite 203, Orlando, FL 32835-6235 | 2007-02-15 |
| 1811039860 | Accel Therapeutics Inc | Clinic/Center | 10766 Berry Creek Rd, Orlando, FL 32836-5008 | 2007-02-13 |
| 1619084001 | Pain Specialist of Orlando, Inc. | Clinic/Center | 6005 Silver Star Rd, Orlando, FL 32808-8201 | 2006-08-23 |
| Find all providers in ORLANDO | ||||
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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.