Laurel Dupont, PT
Individual provider Active NPI Physical Therapist · Grapevine, TX
NPI 1124070081 · NPPES record last updated Feb 19, 2009
Key facts
- NPI
- 1124070081
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 04557 (LA)
- Practice address
- 1217 Ira E Woods Ave
Grapevine, TX 76051-4023 - Phone
- (817) 481-8585
- Fax
- (817) 488-8282
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04557 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSR Louisiana, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 04557 | LA | Yes |
Addresses
Primary practice location
1217 Ira E Woods Ave
Grapevine, TX 76051-4023
Mailing address
1217 Ira E Woods Ave
Grapevine, TX 76051-4023
Phone (817) 481-8585
Other providers in Grapevine, TX
- Dr. Mark Zebrowski OD, PA
- James Matthew Dreadfulwater
- Dena Ann Dries
- DSC Dental Grapevine PLLC
- Elizebeth Ruth Dull
- Sonia M Duque-Miyashita
- Rachel Durkee
- Morgan Lynn Dyson
- Easter Seals North Texas Inc.
- Eating Coach, LLC
All providers in Grapevine, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.