Active NPI
Valerie Ann Laisure, PT
- Physical Therapist
- Lonsdale, AR
National Provider Identifier
1265575435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2955
- Practice address
- 25255 Highway 5
Suitee N
Lonsdale, AR 72087-9519 - Phone
- (501) 922-9911
- Fax
- (501) 922-9930
- NPI assigned
- Feb 15, 2007
- Last updated
- Jun 5, 2009
- 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 | PT2955 | AR | Primary |
Addresses
Primary practice location
25255 Highway 5
Suitee N
Lonsdale, AR 72087-9519
Mailing address
3519 Longmeadow Dr
Bryant, AR 72022-9334
Phone (870) 219-6030
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 |
|---|---|---|---|
| PT2955 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244160000000",
"number": "1265575435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3519 LONGMEADOW DR",
"city": "BRYANT",
"state": "AR",
"postal_code": "720229334",
"telephone_number": "870-219-6030",
"fax_number": "501-760-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25255 HIGHWAY 5",
"address_2": "SUITEE N",
"city": "LONSDALE",
"state": "AR",
"postal_code": "720879519",
"telephone_number": "501-922-9911",
"fax_number": "501-922-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAISURE",
"first_name": "VALERIE",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2009-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT2955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lonsdale, AR
- Chelsea Hobson, PT, DPT
- Infinity Health Clinic, LLC
- Infinity Health of Arkansas LLC
- Stephanie Diane Johnson, M.S., CCC-A
- Jordan Physical Therapy Center Inc
- Matt Huneycutt, D.C. PLLC (Back 2 Health Chiropractic)
- Rebecca Meredith, MS CCC-SLP
- MJ Eldercare of Arkansas (Home Instead Senior Care)
- Amy Muncrief, MSRDLD
- Lori Marie Saveall, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.