Active NPI
Paula R Lawson, PT, PCS
- Physical Therapist
- Johnston, IA
National Provider Identifier
1245443704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00815
- Practice address
- 5900 Pioneer Pkwy
Johnston, IA 50131-0707 - Phone
- (515) 270-2205
- Fax
- (515) 276-0140
- NPI assigned
- May 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 00815 | IA | Primary |
Addresses
Primary practice location
5900 Pioneer Pkwy
Johnston, IA 50131-0707
Mailing address
2831 54TH St
Des Moines, IA 50310
Phone (515) 270-2205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14162 | Other | IA | WELLMARK BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00815 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245443704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 54TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50310",
"telephone_number": "515-270-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 PIONEER PKWY",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501310707",
"telephone_number": "515-270-2205",
"fax_number": "515-276-0140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "PAULA",
"middle_name": "R",
"credential": "PT, PCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "00815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "14162",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnston, IA
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.