MR. DAVID LACKENBY (P.T.) – Physical Therapist, NPI 1942439294

MR. DAVID LACKENBY (P.T.) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 7411 (FL). The NPI Number for MR. DAVID LACKENBY (P.T.) is 1942439294

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID LACKENBY (P.T.)
NPI
1942439294
Phone
(239) 337-2003
Address
7331 COLLEGE PKWY STE 300
Enumeration Date
8 July 2009
Last Update Date
25 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393372003
Graduation Year
1988 (38 years ago)
PAC ID
9537516463
Group Practice PAC ID
7911909510
Professional Enrollment ID
I20231114001394
Address ID
FL339075524FO7331XPKWY304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MR. DAVID LACKENBY (P.T.)

  • 7331 COLLEGE PKWY STE 300

    FORT MYERS, FL 339075524

    Phone: (239) 337-2003

    Fax: (239) 337-3168

    Type: Location

  • 4301, Sanibel-Captiva Road, Sanibel, Lee County, Florida, 33957, United States

    SANIBEL, FL 339573046

    Phone: (239) 395-1097

    Type: Location

  • Tropical Palm Avenue, Palm Island, North Fort Myers, Lee County, Florida, 33903, United States

    FORT MYERS, FL 339191729

    Phone: (239) 565-4443

    Type: Mailing

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: 2023-11-14

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
I20231114001394IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes66663$0
97140Therapy procedure using manual technique, each 15 minutes62964$0
97530Therapy procedure using functional activities3616$0
View full utilization report →

Insurance plans in this area (ZIP 33907)

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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: 7911909510View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physical Therapist In Private PracticeFL
-FL
-NC
Physician AssistantFL
Physician AssistantFL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Does MR. DAVID LACKENBY (P.T.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. DAVID LACKENBY (P.T.) uses 1942439294.
Can I rely on MR. DAVID LACKENBY (P.T.) being an active provider?
As of the registry snapshot, MR. DAVID LACKENBY (P.T.) is marked active.
What taxonomy line describes MR. DAVID LACKENBY (P.T.)?
For research purposes, treat MR. DAVID LACKENBY (P.T.) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MR. DAVID LACKENBY (P.T.) serve?
MR. DAVID LACKENBY (P.T.)'s listing highlights Fort Myers, Florida; more addresses can appear in NPPES.
Why does MR. DAVID LACKENBY (P.T.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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