Individual provider Active NPI

Lara Jane Raquin Inserto, R.P.T.

  • Physical Therapist
  • Newburgh, IN
National Provider Identifier
1265587208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05008146A Issued in IN
Practice address
4088 Frame Rd
Newburgh, IN 47630-2258
Phone
(812) 853-9567
Fax
(812) 853-1691
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 05008146A IN Primary

Addresses

Primary practice location

4088 Frame Rd
Newburgh, IN 47630-2258

Mailing address

2760 Pearce PT
Newburgh, IN 47630-9047
Phone (812) 490-8586

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
05008146AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Irl Rehab Group LLC Physical Therapist PastSince Apr 10, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265587208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 PEARCE PT",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309047",
            "telephone_number": "812-490-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 FRAME RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302258",
            "telephone_number": "812-853-9567",
            "fax_number": "812-853-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INSERTO",
        "first_name": "LARA JANE",
        "middle_name": "RAQUIN",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008146A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

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.