Laura Jackson, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9819 Issued in NC

Practice address

5318 Highgate Dr
Suite 134
Durham, NC 27713-6630

Phone

(919) 237-3802

Fax

(919) 237-3807

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fit Physical TherapyGroup PAC ID 3870636087, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fit Physical Therapy

  • Physical Therapist
  • Durham, NC
  • NPI 1194054684
  Medicare reassignment Care Compare group NPD
• Physical Therapy of North Carolina, LLC

  • Physical Therapist
  • Durham, NC
  • NPI 1760453989
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1083662167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 HIGHGATE DR",
            "address_2": "SUITE 134",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136630",
            "telephone_number": "919-237-3802",
            "fax_number": "919-237-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 HIGHGATE DR",
            "address_2": "SUITE 134",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136630",
            "telephone_number": "919-237-3802",
            "fax_number": "919-237-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LAURA",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211932",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua D Jackson
• Katie Jackson, CD, LCCE
• Kevin Jevon Jackson, MD
• Kevin P. Jackson, MD
• Larry Ronald Jackson II, M.D.
• Lindsey A Jackson, FNP
• Lusayo Jackson
• Mary Christine Jackson, DPT
• Maya Jackson
• Rachael N.S Jackson

• Physical Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.