Individual provider Active NPI

Laura Elko

  • Physical Therapist
  • West Chester, PA
National Provider Identifier
1023586807
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
DAPT004092 Issued in PA
Practice address
917 Old Fern Hill Rd Ste 500
West Chester, PA 19380-4255
Phone
(610) 533-4955
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X DAPT004092 PA Primary

Addresses

Primary practice location

917 Old Fern Hill Rd Ste 500
West Chester, PA 19380-4255

Mailing address

310 Albermarle GRV
West Chester, PA 19380-4919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190218001829 PA Practitioner - Physical Therapist in Private Practice 4486991510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobility Specialist LLCGroup PAC ID 4587901616, 7 clinicians

Practice addresses (Care Compare)

16 Industrial Blvd
Suite 101
Paoli, PA 19301-1609
Phone (610) 484-6232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DAPT004092PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobility Specialist LLC Physical Therapist CurrentSince Aug 22, 2018 Accepting new patients

Locations

16 Industrial Blvd
Ste 101
Paoli, PA 19301
Phone (610) 484-6232

917 Old Fern Hill Rd
Ste 500
West Chester, PA 19380
Phone (610) 533-4955

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1023586807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 ALBERMARLE GRV",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 OLD FERN HILL RD STE 500",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804255",
            "telephone_number": "610-533-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKO",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT004092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.