Laura J Homer, MPT, OCS

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

6388 Issued in CO

Practice address

750 West Pacific Avenue
Telluride, CO 81435-2228

Phone

(970) 728-8948

Fax

(970) 728-8953

NPI assigned

Aug 15, 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 names 1

• Miss Laura J Lake Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Transformation Therapeutics, PLLC

  • Physical Therapy Clinic/Center
  • Mountain Village, CO
  • NPI 1679042121
  NPD
• Peak Performance Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Telluride, CO
  • NPI 1447263686
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093728263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2228",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814352228",
            "telephone_number": "970-728-8948",
            "fax_number": "970-728-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WEST PACIFIC AVENUE",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814352228",
            "telephone_number": "970-728-8948",
            "fax_number": "970-728-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMER",
        "first_name": "LAURA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "6388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "LAKE",
            "middle_name": "J",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela C Hancock, LPC, ATR
• Douglas Eric Hanshaw, MS, CAC III
• Suzanne McLean Hazen, OD
• Karyn M Hemphill, PHARM.D.
• John Atkinson Holt Jr., L.AC, DIPL. OM, LMT
• Institute for Altitude Medicine
• Jessica Hope Jakobsen, MSN, APRN, CRNA
• John David Jordan, DPT
• Lauren Patrice Kaas Norton
• Kindred Integrative Care LLC

• All providers in Telluride, CO
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.