Individual provider Active NPI

Laura C Newcomb, DPT

  • Physical Therapist
  • Bettendorf, IA
National Provider Identifier
1194063909
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2300 53Rd Ave Ste LL02
Bettendorf, IA 52722
Phone
(563) 449-7000
Fax
(563) 449-7099
NPI assigned
Jan 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005106 IA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2300 53Rd Ave Ste LL02
Bettendorf, IA 52722

Mailing address

PO Box 5629
Evansville, IN 47716-5629
Phone (812) 745-7475

Other names 1

  • Laura Dudgeon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190822003425 IN Practitioner - Physical Therapist in Private Practice 3678878030 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation and Performance Institute PSC Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Physical Therapist CurrentSince Jul 1, 2019 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Current Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

332 Industrial Dr
Albion, IL 62806
Phone (618) 445-3669

415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764

1927 W Franklin St
Evansville, IN 47712
Phone (812) 250-9828

7300 E Indiana St
Ste 102
Evansville, IN 47715
Phone (812) 759-7451

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

526 E 4th St
Mount Vernon, IN 47620
Phone (270) 926-8145

425 W Jennings St
#B
Newburgh, IN 47630
Phone (812) 518-3246

8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464

2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141

117 Eastwind Ct
Hawesville, KY 42348
Phone (270) 926-8145

418 W 3rd St
Owensboro, KY 42301
Phone (270) 926-8145

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1194063909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5629",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165629",
            "telephone_number": "812-745-7475",
            "fax_number": "812-401-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 53RD AVE STE LL02",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52722",
            "telephone_number": "563-449-7000",
            "fax_number": "563-449-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "LAURA",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "005106",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "DUDGEON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.