Carol Deslauriers, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604258 Issued in VA

Practice address

201 Coopers Run Rd
Capon Bridge, WV 26711-9538

Phone

(540) 532-9124

NPI assigned

Dec 22, 2015

Last updated

Dec 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1174988893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COOPERS RUN RD",
            "city": "CAPON BRIDGE",
            "state": "WV",
            "postal_code": "267119538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COOPERS RUN RD",
            "city": "CAPON BRIDGE",
            "state": "WV",
            "postal_code": "267119538",
            "telephone_number": "540-532-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESLAURIERS",
        "first_name": "CAROL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talauna Kay Boyer
• Marita Burrows
• Capon Bridge Family Practice, LLC
• Capon Bridge Rescue Squad Inc
• Raven Leigh Conneway
• Dr Norman E Wood Jr PA (Doctors Urgent Care and Family Practice)
• E. a. Hawse Health Center, Inc. (Capon Bridge Middle School)
• E. a. Hawse Health Center, Inc. (Capon Bridge Elementary School)
• Jared Lee Garrison, D.D.S.
• Carol Getz

• Physical Therapy Assistant in Capon Bridge, WV
• Providers in Capon Bridge, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.