Active NPI
Laura Julia Petrus, DPT
- Physical Therapist
- Athens, OH
National Provider Identifier
1265712921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013363
- Practice address
- 959 E State St
Athens, OH 45701-2117 - Phone
- (740) 593-6778
- Fax
- (740) 593-7481
- NPI assigned
- Aug 25, 2011
- 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 | PT013363 | OH | Primary |
Addresses
Primary practice location
959 E State St
Athens, OH 45701-2117
Mailing address
1212 Garfield Ave
Suite 200
Parkersburg, WV 26101-3247
Phone (304) 865-6778
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT013363 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1265712921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 GARFIELD AVE",
"address_2": "SUITE 200",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013247",
"telephone_number": "304-865-6778",
"fax_number": "304-865-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 E STATE ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012117",
"telephone_number": "740-593-6778",
"fax_number": "740-593-7481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRUS",
"first_name": "LAURA",
"middle_name": "JULIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-25",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT013363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.