LAURAN MARIE ALVAREZ (DPT) – Physical Therapist, NPI 1063220549

LAURAN MARIE ALVAREZ (DPT) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT42790 (FL). The NPI Number for LAURAN MARIE ALVAREZ (DPT) is 1063220549

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
LAURAN MARIE ALVAREZ (DPT)
NPI
1063220549
Phone
(904) 634-0640
Address
2627 Riverside Ave Ste 300
Enumeration Date
30 December 2024
Last Update Date
9 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046340640
Graduation Year
2024 (2 years ago)
PAC ID
1254861719
Group Practice PAC ID
1456246974
Professional Enrollment ID
I20250212003812
Address ID
FL322565004JA10475NXXX412
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for LAURAN MARIE ALVAREZ (DPT)

  • 2627 Riverside Ave Ste 300

    Jacksonville, FL 322044717

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 232 Ponte Vedra Park Dr

    Ponte Vedra Beach, FL 320826600

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 2110 Herschel St

    Jacksonville, FL 322043820

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 4565 US Highway 17 Ste 200

    Fleming Island, FL 320034823

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 216 Southpark Cir E Ste 216

    St Augustine, FL 320865135

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 2300 Park Ave Ste 206

    Orange Park, FL 320735573

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 45 Groover Loop Ste 201

    St Augustine, FL 320866586

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 4268 Oldfield Crossing Dr Ste 201

    Jacksonville, FL 322238800

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 3055 County Road 210 W Ste 110

    Jacksonville, FL 322597001

    Phone: (904) 634-0640

    Fax: (904) 634-0640

    Type: Location

  • 2 Shircliff Way Ste 605

    Jacksonville, FL 322044762

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 15255 Max Legget Pkwy Ste 5300

    Jacksonville, FL 322187274

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 6800 SOUTHPOINT PKWY STE 300

    JACKSONVILLE, FL 322168203

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Mailing

  • 10475 CENTURION PKWY N STE 305

    JACKSONVILLE, FL 322565004

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250212003812IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456246974View full group profile
NameSpecialtyState
C H I R O P R A C T I CFL
Physical Therapist In Private PracticeFL
C H I R O P R A C T I CFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
-FL
Orthopedic SurgeryFL
Orthopedic SurgeryFL

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Frequently asked questions

Is LAURAN MARIE ALVAREZ (DPT) listed with a National Provider Identifier?
Yes — LAURAN MARIE ALVAREZ (DPT) has NPI 1063220549 on file in the registry.
Is there an active status for LAURAN MARIE ALVAREZ (DPT)?
For scheduling context, LAURAN MARIE ALVAREZ (DPT) is shown as active in the registry.
What expertise is attributed to LAURAN MARIE ALVAREZ (DPT)?
LAURAN MARIE ALVAREZ (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with LAURAN MARIE ALVAREZ (DPT)?
Directory geography for LAURAN MARIE ALVAREZ (DPT) centers on Jacksonville, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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