Laurence Oliver Parker

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2061886 Issued in TX

Practice address

7655 Park North Dr Apt 806
Beaumont, TX 77708-2413

Phone

(409) 926-2808

NPI assigned

Oct 21, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1013516954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 PARK NORTH DR APT 806",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777082413",
            "telephone_number": "409-926-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 PARK NORTH DR APT 806",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777082413",
            "telephone_number": "409-926-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LAURENCE",
        "middle_name": "OLIVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2061886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Infusioncare, LP
• Alkisha Diane Parker, LPC
• Courtney Parker, LVN
• Jaclyn Crisler Parker, LMT, CLT, CDT
• Kristi Ladonna Parker, M.S. - SLP
• Gregory Todd Parkhurst, CRNA
• Alyssa Hughes Parks
• David Edward Parkus, M.D
• Brittany Parsels, PH.D., LMSW
• Chasity Parsons

• Physical Therapy Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.