Laura Elizabeth Prentice, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8227 Issued in MA

Practice address

62 Whipple Brook Rd
Wrentham, MA 02093-2512

Phone

(508) 472-5482

NPI assigned

Sep 15, 2005

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

Other names 1

• Ms. Laura Elizabeth Ehlers Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura J. Caccavale, D.P.T.

  • Physical Therapist
  • Uxbridge, MA
  • NPI 1336481142
  Medicare reassignment
• Brittany Mae Fallon, DPT

  • Physical Therapist
  • Shrewsbury, MA
  • NPI 1932630662
  Medicare reassignment
• Susan D. Tack, PT

  • Physical Therapist
  • Holden, MA
  • NPI 1477731610
  Medicare reassignment
• Lisa Marie Tunnera, P.T.

  • Physical Therapist
  • Marlborough, MA
  • NPI 1669683652
  Medicare reassignment

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.

• Laura Elizabeth Prentice

  • Physical Therapist
  • Marlborough, MA
  • NPI 1538871611
  NPD Authorized official
• Riverside Industries, Inc

  • Developmentally Disabled Services Day Training Agency
  • Easthampton, MA
  • NPI 1174743207
  NPD (past)
• Riverside Industries, Inc

  • Developmentally Disabled Services Day Training Agency
  • Easthampton, MA
  • NPI 1497884035
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1215922208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WHIPPLE BROOK RD",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020932512",
            "telephone_number": "508-472-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WHIPPLE BROOK RD",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020932512",
            "telephone_number": "508-472-5482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Boston Post Rd E",
            "address_2": "Suite 270",
            "address_purpose": "LOCATION",
            "city": "Marlboro",
            "state": "MA",
            "postal_code": "017523527",
            "country_code": "US",
            "telephone_number": "508-481-5519",
            "fax_number": "508-481-6106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Positivechange11@aol.com",
            "affiliation": "N",
            "endpointDescription": "Positivechange11@aol.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "62 Whipple Brook Rd",
            "city": "Wrentham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020932512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "EHLERS",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aum Patel, CNP
• Kathleen Ann Patti, RD, LDN
• Personalized Physical Therapy, LLC
• Laurence Rick Pescione, PTA
• Jackie Black Piller, MA, LMHC
• Robert Proctor, M.ED.
• Anshuman Singh Rawat, D.M.D.
• Donna Josephine Remmes, AGNP
• Alice C Richer
• Christopher Rogan, DPT

• Physical Therapist in Wrentham, MA
• Providers in Wrentham, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.