Active NPI
Laurie Kathleen Everett, P.T.
- Physical Therapist
- Lake Arrowhead, CA
National Provider Identifier
1033311998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT13022
- Practice address
- 29099 Hospital Rd
Suite 106
Lake Arrowhead, CA 92352-0070 - Phone
- (909) 337-0844
- NPI assigned
- Jun 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT13022 | CA | Primary |
Addresses
Primary practice location
29099 Hospital Rd
Suite 106
Lake Arrowhead, CA 92352-0070
Mailing address
PO Box 1084
Running Springs, CA 92382-1084
Phone (909) 337-0844
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT13022 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Arrowhead Physical Therapy | Past | Accepting new patients |
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.
-
- Critical Access Hospital
- Lake Arrowhead, CA
- NPI 1427486802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033311998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1084",
"city": "RUNNING SPRINGS",
"state": "CA",
"postal_code": "923821084",
"telephone_number": "909-337-0844",
"fax_number": "909-337-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29099 HOSPITAL RD",
"address_2": "SUITE 106",
"city": "LAKE ARROWHEAD",
"state": "CA",
"postal_code": "923520070",
"telephone_number": "909-337-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "LAURIE",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT13022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Arrowhead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.