Active NPI
Laura Charles
- Physical Therapy Assistant
- Oswego, KS
National Provider Identifier
1033766837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-02761
- Practice address
- 525 Michigan St
Oswego, KS 67356-2024 - Phone
- (620) 778-2904
- NPI assigned
- Aug 26, 2019
- Last updated
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | |||
| Physical Therapy Assistant | 225200000X | 14-02761 | KS | Primary |
Addresses
Primary practice location
525 Michigan St
Oswego, KS 67356-2024
Mailing address
525 Michigan St
Oswego, KS 67356-2024
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 |
|---|---|---|---|
| 14-02761 | KS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1033766837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 MICHIGAN ST",
"city": "OSWEGO",
"state": "KS",
"postal_code": "673562024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 MICHIGAN ST",
"city": "OSWEGO",
"state": "KS",
"postal_code": "673562024",
"telephone_number": "620-778-2904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-02761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, KS
- Phillip E. Bortmes, D.O.
- Cah Acquisition Company 2 LLC (Oswego Community Hospital, Swing Bed Unit)
- Cah Acquisition Company 2 LLC (Oswego Community Hospital)
- Cah Acquisition Company 2 LLC (Oswego Community Clinic)
- Community Health Center of Southeast Kansas, Inc.
- Focalpoint Imaging LLC
- Frisbie Chiropractic PC
- Chauncey Blake Frisbie, D.C.
- Amelia Jolynn Hartmann, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.