Active NPI
Lasa LLC
- Physical Therapist
- New Bern, NC
National Provider Identifier
1083797385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LASA LLC
- Practice address
- 3268 Wellons Blvd
New Bern, NC 28562 - Phone
- (252) 672-9983
- Fax
- (252) 672-9092
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Tracy McDaniel, PT
- Title
- Owner Physical Therapist
- Phone
- (252) 672-9983
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3268 Wellons Blvd
New Bern, NC 28562
Mailing address
3268 Wellons Blvd
New Bern, NC 28562
Phone (252) 672-9983
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012AR | Other | NC | BCBS |
| 7200100 | Medicaid | NC |
Other names 1
- Center For Industrial And Physical Therapy
National Provider Directory
National Provider DirectoryLocations
3268 Wellons Blvd
New Bern, NC 28562
Phone (252) 672-9983
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- New Bern, NC
- NPI 1013006865
-
- Physical Therapist
- New Bern, NC
- NPI 1265521017
-
- Physical Therapist
- New Bern, NC
- NPI 1740448356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083797385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3268 WELLONS BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "28562",
"telephone_number": "252-672-9983",
"fax_number": "252-672-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3268 WELLONS BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "28562",
"telephone_number": "252-672-9983",
"fax_number": "252-672-9092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "TRACY",
"authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
"authorized_official_telephone_number": "252-672-9983",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "012AR",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7200100",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Center For Industrial And Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.