MS. ELIZABETH LANDRUS (NPI# 1639362866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639362866 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH LANDRUS |
| Other Name | MS. ELIZABETH CORRIGAN LANDRUS |
| Credential | PT |
| Practice Address |
119 Bakers Acres Dr Hawthorne FL 32640-4159 |
| Practice Telephone | 3522345777 |
| Mailing Telephone | 3522345777 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT4639 | FL | Other Service Providers |
| N | 225100000X | Physical Therapist | PT4639 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
119 BAKERS ACRES DR |
| City | HAWTHORNE |
| State | FL |
| Zip Code | 32640-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607492 | Celtic Enterprize Inc | Physical Therapist | 119 Bakers Acres Dr, Hawthorne, FL 32640-4159 | 2020-04-13 |
| 1578182457 | Celtic Enterprize Inc | Physical Therapist | 119 Bakers Acres Dr, Hawthorne, FL 32640-4159 | 2020-04-10 |
| 1215398193 | Therapyplus. | Community Health Worker | 119 Bakers Acres Dr, Hawthorne, FL 32640-4159 | 2016-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306303169 | Althea Pontoon | In Home Supportive Care | 144 Prairie Drive, Hawthorne, FL 32640 | 2019-02-27 |
| 1013446475 | Divine Care Services LLC | Home Health Aide | 21212 Se 62nd Ave, Hawthorne, FL 32640 | 2017-06-08 |
| 1073968715 | Crista Marina Ana Lucia Rosborough | Specialist | 21403 Se 70th Ave, Hawthorne, FL 32640 | 2016-05-02 |
| 1952781387 | Neil Franklin Letts | Ophthalmology | 160 Little Orange Lake Drive, Hawthorne, FL 32640 | 2015-06-01 |
| 1750575056 | Lenise Valma Thomas | Licensed Practical Nurse | 109 Juniper Drive, Hawthorne, FL 32640 | 2007-08-29 |
| 1023138708 | Brian Christopher Creghan I | Physician Assistant | 6435 Se Hwy 301, Hawthorne, FL 32640 | 2007-03-29 |
| 1275627275 | Charles Edward Peele | Chiropractor | 6005 Se Hwy 301, Suite 405a, Hawthorne, FL 32640 | 2006-10-03 |
| 1093123614 | Joseph J Ciccio | Physical Therapist | 19804 Ne 22nd Ln, Hawthorne, FL 32640-2900 | 2014-07-28 |
| 1073912184 | Kristen Tiurchy | Occupational Therapist | 19804 Ne 22nd Ln, Hawthorne, FL 32640-2900 | 2014-08-14 |
| 1306347919 | Myia Mccloud | Licensed Practical Nurse | 22421 Se 59th Pl, Hawthorne, FL 32640-3616 | 2018-02-28 |
| Find all providers in zip 32640 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225512114 | Lauren Palma | Specialist | 178 Broad St, Hawthorne, NY 10532-1015 | 2018-09-18 |
| 1073968715 | Crista Marina Ana Lucia Rosborough | Specialist | 21403 Se 70th Ave, Hawthorne, FL 32640 | 2016-05-02 |
| 1083031447 | Laura R Wisniewski | Specialist | 118 Philip Pl, Hawthorne, NY 10532-2108 | 2014-03-24 |
| 1497191845 | Marta Alfano | Specialist | 507 Lafayette Ave, Hawthorne, NJ 07506-2424 | 2013-05-13 |
| 1710132519 | Melissa Infantino | Specialist | 86 Newman Ave, Hawthorne, NY 10532-1133 | 2008-11-20 |
| 1215120621 | Susan Perko | Specialist | 100 Sunset Strip Dr, Hawthorne, FL 32640-4243 | 2007-08-20 |
| 1093935942 | Patricia L Carnival | Specialist | 5310 W 138th St, Hawthorne, CA 90250-6430 | 2007-04-25 |
| 1821120312 | Ocean View Specialists | Specialist | 13624 Hawthorne Blvd Ste 201, Hawthorne, CA 90250-5818 | 2007-03-10 |
| 1093859423 | Avner Manzoor Mandel M.d. A Medical Corporation | Specialist | 4477 W 118th St Ste 302, Hawthorne, CA 90250-2258 | 2007-02-18 |
| 1396831590 | Saran S Rosner | Specialist | 245 Saw Mill River Rd, Hawthorne, NY 10532-1526 | 2006-10-05 |
| Find all providers in HAWTHORNE | ||||
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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.