Laura L Douthit, PTA
Individual provider Active NPI Physical Therapy Assistant · Bridgeport, NE
NPI 1215367255 · NPPES record last updated Nov 12, 2013
Key facts
- NPI
- 1215367255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 185 (NE)
- Practice address
- 10133 Road 94a
Bridgeport, NE 69336-5038 - Phone
- (308) 279-0206
- NPI assigned
- Nov 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185 | NE | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 185 | NE | Yes |
Addresses
Primary practice location
10133 Road 94a
Bridgeport, NE 69336-5038
Mailing address
10133 Road 94a
Bridgeport, NE 69336-5038
Phone (308) 279-0206
Other providers in Bridgeport, NE
- City of Bridgeport
- Megan Cline
- Cherry L Cooper
- Amy Dawn Craig
- Melony Detweiler
- Traci Lynnette Ellis
- Alexia Garcia
- Diane E. Gilles
- Courtney Gregory
- Denyse M Grimes-Woolbright
All providers in Bridgeport, NE · Physical Therapy Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.