Individual provider Active NPI

Laura Elizabeth Reischman, PTA

  • Physical Therapy Assistant
  • Lawrence, KS
National Provider Identifier
1164739173
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-01857 Issued in KS
Practice address
1305 Wakarusa Drive
Lawrence, KS 66049
Phone
(785) 842-3444
Fax
(785) 842-3410
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-01857 KS Primary

Addresses

Primary practice location

1305 Wakarusa Drive
Lawrence, KS 66049

Mailing address

1305 Wakarusa Drive
Lawrence, KS 66049
Phone (785) 842-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14-01857KSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1164739173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WAKARUSA DRIVE",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-842-3444",
            "fax_number": "785-842-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WAKARUSA DRIVE",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-842-3444",
            "fax_number": "785-842-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISCHMAN",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-01857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.