Active NPI
Laura Camille Durel, MSPT
- Physical Therapist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4105829 | Other | TN | BCBST |
| 3645657 | Medicaid | TN | |
| 5441657 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Physical Therapy & Sports Medicine Inc | Physical Therapist | Current | Accepting new patients |
| Summit Physical Therapy | Physical Therapist | Past | 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.
-
- Physical Therapist
- La Fayette, GA
- NPI 1871738872
-
- Physical Therapist
- Hixson, TN
- NPI 1225514110
-
dba Trenton Physical Therapy
- Physical Therapist
- Trenton, GA
- NPI 1669406070
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.