Kevan John Laporte, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14040 Issued in WI

Practice address

517 E. Clairemont Avenue
Eau Claire, WI 54701-6479

Phone

(715) 855-0408

Fax

(715) 855-0409

NPI assigned

May 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Wisconsin School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Therapies, LLCGroup PAC ID 3375430028, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.64 of 100Reported as group

Quality

77.91

Improvement activities

40

Cost

74.93

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.

• Optimum Therapies, LLC

  • Physical Medicine & Rehabilitation Physician
  • Menomonie, WI
  • NPI 1356463087

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Optimum Therapies, LLC

  • Physical Therapy Clinic/Center
  • Chippewa Falls, WI
  • NPI 1275498016

  Physical Therapist

  NPD
• Bodywise Physical Therapy Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1629021290
  NPD (past)

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1144757485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E. CLAIREMONT AVENUE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016479",
            "telephone_number": "715-855-0408",
            "fax_number": "715-855-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 E. CLAIREMONT AVENUE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016479",
            "telephone_number": "715-855-0408",
            "fax_number": "715-855-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 NW 12th Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972092838",
            "country_code": "US",
            "telephone_number": "503-701-4390",
            "fax_number": "503-974-2612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAPORTE",
        "first_name": "KEVAN",
        "middle_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100072562",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Herbert Lange, MD
• Carolyn D Langkamp, WLMT, RN
• David James Langlais, CRNA
• Thomas Langley, CRNA
• Piper D Langreck, CCC-SLP
• Krista Lapp, MS, LPC
• Juliette Rose Larsen
• Larson Orthodontic Specialists
• Andrew Larson
• Angelica M. Larson, NP

• Physical Therapist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.