Active NPI
Laurel Gueth
- Physical Therapist
- Knightdale, NC
National Provider Identifier
1184286197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18771
- Practice address
- 502 McKnight Dr Ste 103
Knightdale, NC 27545-7050 - Phone
- (919) 217-8820
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P18771 | NC | Primary |
Addresses
Primary practice location
502 McKnight Dr Ste 103
Knightdale, NC 27545-7050
Mailing address
16 Maybrook Rd Ste D
Campbell Hall, NY 10916-2741
Phone (845) 636-4344
Other names 1
- Laurel Jaroch
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P18771 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1184286197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MAYBROOK RD STE D",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109162741",
"telephone_number": "845-636-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 MCKNIGHT DR STE 103",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275457050",
"telephone_number": "919-217-8820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUETH",
"first_name": "LAUREL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREL",
"last_name": "JAROCH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.