Individual provider Active NPI

Laura Rankin Outland, PT

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1235358706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202114 Issued in VA
Practice address
250 Pantops Mountain Rd
Charlottesville, VA 22911-8686
Phone
(434) 972-3195
Fax
(434) 972-2791
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305202114 VA Primary

Addresses

Primary practice location

250 Pantops Mountain Rd
Charlottesville, VA 22911-8686

Mailing address

835 James River Road
Scottsville, VA 24590-3832
Phone (434) 286-2522

Other identifiers 1

IdentifierTypeStateIssuer
2305202114OtherVAPHYSICAL THERAPY LICENSE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305202114VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235358706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 JAMES RIVER ROAD",
            "city": "SCOTTSVILLE",
            "state": "VA",
            "postal_code": "245903832",
            "telephone_number": "434-286-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PANTOPS MOUNTAIN RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118686",
            "telephone_number": "434-972-3195",
            "fax_number": "434-972-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTLAND",
        "first_name": "LAURA",
        "middle_name": "RANKIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "2305202114",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.