Active NPI
Lauralee Brooke Johnson, PT, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1265705131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034470
- Practice address
- 170 E 77TH St
Prof. Unit 2
New York, NY 10075-1912 - Phone
- (212) 249-5332
- NPI assigned
- Feb 22, 2012
- 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 | 034470 | NY | Primary |
Addresses
Primary practice location
170 E 77TH St
Prof. Unit 2
New York, NY 10075-1912
Mailing address
1536 3Rd Ave
5TH FL
New York, NY 10028-2167
Phone (212) 861-2630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
278 W 81St St
New York, NY 10024-5728
Phone (212) 579-3539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034470 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flex Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Premier Physical Therapy and Wellness, PC | Physical Therapist | Past | Accepting new patients |
| Premier Physical Therapy and Wellness, PC | Physical Therapist | Past | Accepting new patients |
Locations
3021 Route 9
Cold Spring, NY 10516
Phone (212) 579-3539
278 W 81st St
New York, NY 10024
Phone (212) 579-3539
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.
-
- Physical Therapist
- New York, NY
- NPI 1720409253
-
- Physical Therapist
- New York, NY
- NPI 1821412495
-
- Physical Therapist
- New York, NY
- NPI 1912996141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1265705131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 3RD AVE",
"address_2": "5TH FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282167",
"telephone_number": "212-861-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 E 77TH ST",
"address_2": "PROF. UNIT 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751912",
"telephone_number": "212-249-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LAURALEE",
"middle_name": "BROOKE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.