Laura Deboer, PT
Individual provider Active NPI Physical Therapist · Kent, CT
NPI 1154438729 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154438729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 004720 (CT)
- Practice address
- 64 Maple St
Kent, CT 06757-0034 - Phone
- (860) 927-4559
- Fax
- (860) 927-3352
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 004720 | CT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004720 | CT | Yes |
Addresses
Primary practice location
64 Maple St
Kent, CT 06757-0034
Mailing address
PO Box 34
Kent, CT 06757-0034
Phone (860) 927-4559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0800004720CT01 | Other | CT | ANTHEM BC/BS PROVIDER |
| 437033 | Other | NY | MVP PROVIDER |
| OV6316 | Other | CT | HEALTH NET PROVIDER |
| 15901 | Other | CT | CIGNA ORTHONET PROVIDER |
| 2288136 | Other | CT | AETNA PROVIDER |
| 64-04275 | Other | CT | UNITED HEALTH CARE PROVID |
| P2057224 | Other | NY | OXFORD OUR OF NETOWRK PRO |
| QB0381 | Other | NY | EMPIRE BC/BS PROVIDER |
Other providers in Kent, CT
- Danielle Rita Colopy
- Anne Corey
- Custom Compounding LLC
- Peter B.C. Daprile
- Arlin Deboer
- Douglas a. Finch, MD, LLC
- Janet Buch Downes
- E Ruth Greenberg LPC LLC
- Bernadette O'Brien Ellegard
- Richard G. Erskine
All providers in Kent, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.