Individual provider Active NPI

Andrew Laughlin, PT, DPT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1114607363
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61572687 Issued in WA
Practice address
15614 Meridian E Ste 100
Puyallup, WA 98375-5100
Phone
(253) 840-5511
NPI assigned
Jul 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2023027805 MO
Orthopedic Physical Therapist 2251X0800X 2023027805 MO
Physical Therapist 225100000X PT61572687 WA Primary

Addresses

Primary practice location

15614 Meridian E Ste 100
Puyallup, WA 98375-5100

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

1828 E Florence Blvd
Casa Grande, AZ 85122-4783
Phone (520) 510-0360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, NE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231019000068 AZ Practitioner - Physical Therapist in Private Practice 9032564521 Reassigns benefits to 1 organization
I20240813000134 WA Practitioner - Physical Therapist in Private Practice 9032564521 Reassigns benefits to 1 organization
I20250228003146 NE Practitioner - Physical Therapist in Private Practice 9032564521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Spine Center, LLPGroup PAC ID 9830080613, 35 clinicians

Practice addresses (Care Compare)

13616 California St
Suite 100
Omaha, NE 68154-5336
Phone (402) 496-5517

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023027805MOMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Jul 10, 2023 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Nebraska Spine Center, LLP Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jul 10, 2023 Accepting new patients

Locations

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

17430 N Porter Rd
Ste 110
Maricopa, AZ 85138
Phone (520) 208-2033

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

13616 California St
Ste 100
Omaha, NE 68154
Phone (402) 496-5517

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

15614 Meridian E
Ste 100
Puyallup, WA 98375
Phone (253) 840-5511

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71581

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1114607363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15614 MERIDIAN E STE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983755100",
            "telephone_number": "253-840-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 E Florence Blvd",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851224783",
            "country_code": "US",
            "telephone_number": "520-510-0360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "ANDREW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-21",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023027805",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2023027805",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61572687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.