Active NPI
Laura Flynn, PT
- Physical Therapist
- Columbia, MD
National Provider Identifier
1013070788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17374
- Practice address
- 11085 Little Patuxent Pkwy
Suite 207
Columbia, MD 21044-2983 - Phone
- (410) 884-4111
- Fax
- (410) 884-4113
- NPI assigned
- Dec 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17374 | MD | Primary |
Addresses
Primary practice location
11085 Little Patuxent Pkwy
Suite 207
Columbia, MD 21044-2983
Mailing address
11085 Little Patuxent Pkwy
Suite 207
Columbia, MD 21044-2983
Phone (410) 884-4111
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 |
|---|---|---|---|
| 17374 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1013070788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11085 LITTLE PATUXENT PKWY",
"address_2": "SUITE 207",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442983",
"telephone_number": "410-884-4111",
"fax_number": "410-884-4113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11085 LITTLE PATUXENT PKWY",
"address_2": "SUITE 207",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442983",
"telephone_number": "410-884-4111",
"fax_number": "410-884-4113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "LAURA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "17374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.