Individual provider Active NPI

Laura Leigh Laboiteaux, MPT

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1154354934
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21186 Issued in MD
Practice address
580 Northern Ave
Hagerstown, MD 21742-2847
Phone
(301) 745-8915
Fax
(301) 745-8916
NPI assigned
Jul 7, 2006
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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 21186 MD Primary

Addresses

Primary practice location

580 Northern Ave
Hagerstown, MD 21742-2847

Mailing address

580 Northern Ave
Suite F
Hagerstown, MD 21742-2847
Phone (301) 745-8915

Other identifiers 2

IdentifierTypeStateIssuer
412893100MedicaidMD
P00222631OtherMDMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000164 MD Practitioner - Physical Therapist in Private Practice 9830148667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McNerney and Associates PAGroup PAC ID 4082682539, 12 clinicians

Practice addresses (Care Compare)

5024 Dorsey Hall Dr
Suite 103
Ellicott City, MD 21042-7869
Phone (410) 740-1047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McNerney & Associates, P.a. Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
Gilbert Weaver and Associates Physical Therapist Past Accepting new patients

Locations

5024 Dorsey Hall Dr
Ste 103
Ellicott City, MD 21042
Phone (410) 740-1047

Organizations & group practices 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1154354934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 NORTHERN AVE",
            "address_2": "SUITE F",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422847",
            "telephone_number": "301-745-8915",
            "fax_number": "301-745-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 NORTHERN AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422847",
            "telephone_number": "301-745-8915",
            "fax_number": "301-745-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOITEAUX",
        "first_name": "LAURA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412893100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00222631",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.