Individual provider Active NPI

Laura Covill, PT

  • Physical Therapist
  • Des Moines, IA
National Provider Identifier
1245344712
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02296 Issued in IA
Practice address
3310 SW 9TH St
Des Moines, IA 50315-7647
Phone
(515) 244-5005
Fax
(515) 244-2202
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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 02296 IA Primary

Addresses

Primary practice location

3310 SW 9TH St
Des Moines, IA 50315-7647

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 244-5005

Other identifiers 2

IdentifierTypeStateIssuer
2453571MedicaidIA
1453571MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216000844 VA Practitioner - Physical Therapist in Private Practice 2264498989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Manual Physical Therapy IncGroup PAC ID 8426018979, 2 clinicians

Practice addresses (Care Compare)

9445 Zachary Taylor Hwy
Unionville, VA 22567-2126
Phone (540) 854-0367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainside Physical Therapy Inc Physical Therapist CurrentSince Jul 23, 2021 Accepting new patients
Healthy Weight Options, LLC PastSince Jul 23, 2021 Accepting new patients

Locations

12625A Lee Hwy
Washington, VA 22747
Phone (540) 987-9390

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1245344712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-244-5005",
            "fax_number": "515-244-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503157647",
            "telephone_number": "515-244-5005",
            "fax_number": "515-244-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVILL",
        "first_name": "LAURA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2453571",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1453571",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.