Provider Demographics
NPI:1346755782
Name:LIGHTNING THERAPY LLC
Entity Type:Organization
Organization Name:LIGHTNING THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWENER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMIANO
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:813-957-4040
Mailing Address - Street 1:11442 LAUREL BROOK CT
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-2021
Mailing Address - Country:US
Mailing Address - Phone:813-957-4041
Mailing Address - Fax:
Practice Address - Street 1:11442 LAUREL BROOK CT
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-2021
Practice Address - Country:US
Practice Address - Phone:813-957-4041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-07
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11939225X00000X
FLOT11940261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty