Active NPI
Laurie Ann Valenzano, D.P.T
- Physical Therapist
- Joint Base Lewis McChord, WA
National Provider Identifier
1003008806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01383400
- Practice address
- 9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000 - Phone
- (253) 968-0780
- Fax
- (253) 968-0780
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11160 | NC | |
| Physical Therapist | 225100000X | PT009916 | GA | |
| Physical Therapist | 225100000X | 40QA01383400 | NJ | Primary |
Addresses
Primary practice location
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Mailing address
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone (253) 968-0780
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116819 | Other | GA | REHABILITATION AGENCY CERTIFICATION |
| 426619 | Other | SC | REHABILITATION AGENCY CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11160 | NC | MD | Specialist |
| PT009916 | GA | MD | Physical Therapist |
| 40QA01383400 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1003008806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 FITZSIMMONS DR",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984311000",
"telephone_number": "253-968-0780",
"fax_number": "253-968-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 FITZSIMMONS DR",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984311000",
"telephone_number": "253-968-0780",
"fax_number": "253-968-0780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENZANO",
"first_name": "LAURIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "11160",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009916",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01383400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REHABILITATION AGENCY CERTIFICATION",
"identifier": "116819",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REHABILITATION AGENCY CERTIFICATION",
"identifier": "426619",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.