Active NPI
Leah Laube, D.P.T.
- Physical Therapist
- Cottonwood, AZ
National Provider Identifier
1205181807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9887
- Practice address
- 480 S Willard St
Cottonwood, AZ 86326-4128 - Phone
- (928) 649-9726
- Fax
- (928) 634-2079
- NPI assigned
- Jul 19, 2012
- Last updated
- Jul 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 9887 | AZ | Primary |
Addresses
Primary practice location
480 S Willard St
Cottonwood, AZ 86326-4128
Mailing address
480 S Willard St
Cottonwood, AZ 86326-4128
Phone (928) 649-9726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9887 | Other | AZ | STATE PT LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1205181807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 S WILLARD ST",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264128",
"telephone_number": "928-649-9726",
"fax_number": "928-634-2079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 S WILLARD ST",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264128",
"telephone_number": "928-649-9726",
"fax_number": "928-634-2079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUBE",
"first_name": "LEAH",
"name_prefix": "Mrs.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "9887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PT LICENSE NUMBER",
"identifier": "9887",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.