Individual provider Active NPI

Laura Camille Durel, MSPT

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1093761736
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1608 Gunbarrel Rd Ste 103
Chattanooga, TN 37421-7244
Phone
(423) 892-8070
Fax
(423) 893-9891
NPI assigned
May 25, 2006
Last updated
Feb 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1608 Gunbarrel Rd Ste 103
Chattanooga, TN 37421-7244

Mailing address

2020 Gunbarrel Rd
Ste 408
Chattanooga, TN 37421-2663
Phone (423) 508-4461

Other identifiers 3

IdentifierTypeStateIssuer
4105829OtherTNBCBST
3645657MedicaidTN
5441657MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200818002301 GA Practitioner - Physical Therapist in Private Practice 6709813298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Physical Therapy and Sports Medicine IncGroup PAC ID 8426112137, 13 clinicians

Practice addresses (Care Compare)

12415 N Main St
Trenton, GA 30752
Phone (706) 528-4207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Summit Physical Therapy Physical Therapist PastSince Feb 22, 2019 Accepting new patients
Physical Therapy Associates of Chattanooga, Inc. Physical Therapist Past Accepting new patients

Locations

106 Pearl Dr
Ste 104
La Fayette, GA 30728
Phone (706) 638-3880

1711 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 528-4207

13423 Highway 27
Ste A
Trion, GA 30753
Phone (706) 696-0505

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1093761736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GUNBARREL RD",
            "address_2": "STE 408",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212663",
            "telephone_number": "423-508-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 GUNBARREL RD STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217244",
            "telephone_number": "423-892-8070",
            "fax_number": "423-893-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUREL",
        "first_name": "LAURA",
        "middle_name": "CAMILLE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4105829",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3645657",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441657",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.