Laura A. Douglas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00006106 Issued in WA

Practice address

17833 1St Ave S Ste a
Normandy Park, WA 98148-1713

Phone

(253) 330-8518

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kintsugi Physical TherapyGroup PAC ID 9537593298, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kintsugi Physical Therapy

  • Physical Therapist
  • Normandy Park, WA
  • NPI 1598300824
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1194734236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S BONITO WAY STE 190",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425618",
            "telephone_number": "208-287-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17833 1ST AVE S STE A",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981481713",
            "telephone_number": "253-330-8518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16259 Sylvester Rd SW",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981663049",
            "country_code": "US",
            "telephone_number": "206-242-5186",
            "fax_number": "206-241-8467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "LAURA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryll G. Marshall-Inman DC Inc.
• Claudia M Delgado
• Rachael Diane Dial, LMT
• Dorothy F Diaz, FNP-C
• Bryce Kuulei Domingo, PTA, LMP
• Ketra Lee Embleton, LMHCA
• Celeste Marie Etherington, DNP
• Trish Ann Ferreira, LICSW, CDP
• Kathryn Forester, LMP
• Lauren Frederick, LMHCA

• Physical Therapist in Normandy Park, WA
• Providers in Normandy Park, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.