Lauren Thomas

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003383 Issued in WV

Practice address

46 Trifecta PL Ste 104
Charles Town, WV 25414-5652

Phone

(304) 728-9090

NPI assigned

Aug 27, 2014

Last updated

Aug 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Sportscare & Rehab of West Virginia, LLC

  dba Pivot Physical Therapy

  • Physical Therapist
  • Charles Town, WV
  • NPI 1407301518
  NPD (past)
• Professional Sportscare & Rehab of West Virginia, LLC

  dba Pivot Physical Therapy

  • Physical Therapist
  • Martinsburg, WV
  • NPI 1861947988
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1023418910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SANDSTONE DR",
            "city": "WALKERSVILLE",
            "state": "MD",
            "postal_code": "217939146",
            "telephone_number": "240-285-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 TRIFECTA PL STE 104",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254145652",
            "telephone_number": "304-728-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "003383",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Carol Tabler
• Stanis Louis Tabler
• Marylou Talmadge
• Janice C Taylor, MA EDS PHD
• The Giant Company, LLC (Martins Pharmacy #6102)
• Karen Thompson I, RN
• Claude Bryant Travis
• Two Rivers Counseling LLC
• Taliyah Underwood
• University Healthcare Physicians, Inc. (University Urgent Care)

• Physical Therapist in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.