Individual provider Active NPI

Laura Maruhashi, D.P.T.

  • Specialist
  • Juneau, AK
National Provider Identifier
1093166399
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
112029 Issued in AK
Practice address
641 W Willoughby Ave
Suite 206
Juneau, AK 99801-1773
Phone
(907) 586-5951
NPI assigned
Jun 28, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 112029 AK Primary

Addresses

Primary practice location

641 W Willoughby Ave
Suite 206
Juneau, AK 99801-1773

Mailing address

641 W Willoughby Ave
Suite 206
Juneau, AK 99801-1773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160829002283 AK Practitioner - Physical Therapist in Private Practice 9032404132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1093166399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W WILLOUGHBY AVE",
            "address_2": "SUITE 206",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W WILLOUGHBY AVE",
            "address_2": "SUITE 206",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011773",
            "telephone_number": "907-586-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUHASHI",
        "first_name": "LAURA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AK",
            "license": "112029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.