Provider Demographics
NPI:1871024075
Name:LEHMAN, CASON (PTA)
Entity Type:Individual
Prefix:
First Name:CASON
Middle Name:
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-8290
Mailing Address - Country:US
Mailing Address - Phone:239-649-6848
Mailing Address - Fax:
Practice Address - Street 1:1725 HERITAGE TRL
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-8716
Practice Address - Country:US
Practice Address - Phone:239-649-6848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23157225200000X
NC5897225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant