Individual provider Active NPI

Laura Elaine Caskey, PT, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1033888680
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21658 Issued in NC
Practice address
125 Baldwin Ave
Charlotte, NC 28204-3364
Phone
(980) 423-1210
Fax
(980) 938-2722
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X P21658 NC Primary

Addresses

Primary practice location

125 Baldwin Ave
Charlotte, NC 28204-3364

Mailing address

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-4999

Other practice location 1

16409 Northcross Dr
Huntersville, NC 28078-5065
Phone (980) 441-8200

Other practice location 2

420 Copperfield Blvd NE
Concord, NC 28025-2404
Phone (704) 706-2200

Other practice location 3

8440 PitStop Ct. NW, Suite 140
Concord, NC 28027-8245
Phone (704) 960-1729

Other names 1

  • Laura Elaine Johnson Former name

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

LicenseStateTypeSpecialty
P21658NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehab LLC Physical Therapist Past Accepting new patients
Kidtherapy, PLLC Physical Therapist PastSince Sep 1, 2021 Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1033888680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-824-4999",
            "fax_number": "704-824-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BALDWIN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043364",
            "telephone_number": "980-423-1210",
            "fax_number": "980-938-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16409 Northcross Dr",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280785065",
            "country_code": "US",
            "telephone_number": "980-441-8200",
            "fax_number": "980-441-8202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Copperfield Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252404",
            "country_code": "US",
            "telephone_number": "704-706-2200",
            "fax_number": "980-334-2110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8440 PitStop Ct. NW, Suite 140",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280278245",
            "country_code": "US",
            "telephone_number": "704-960-1729",
            "fax_number": "980-225-7274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASKEY",
        "first_name": "LAURA",
        "middle_name": "ELAINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "JOHNSON",
            "middle_name": "ELAINE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.