Active NPI
Laurie Anne Repoll, P.T.
- Physical Therapist
- Fairhope, AL
National Provider Identifier
1265757751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH 2254
- Practice address
- 212 Hospital Dr
Fairhope, AL 36532-2058 - Phone
- (251) 279-1640
- Fax
- (251) 279-1494
- NPI assigned
- Mar 29, 2010
- 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 | PTH 2254 | AL | Primary |
Addresses
Primary practice location
212 Hospital Dr
Fairhope, AL 36532-2058
Mailing address
557 Jan Dr
Fairhope, AL 36532-2713
Phone (251) 279-1640
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 |
|---|---|---|---|
| PTH 2254 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1265757751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 JAN DR",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322713",
"telephone_number": "251-279-1640",
"fax_number": "251-279-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 HOSPITAL DR",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322058",
"telephone_number": "251-279-1640",
"fax_number": "251-279-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPOLL",
"first_name": "LAURIE",
"middle_name": "ANNE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH 2254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairhope, AL
- Patricia Reed, PMHNP-BC
- Refine PT and Performance - Fairhope LLC
- Rehab Associates, LLC (Champion Sports Medicine & Rehabilitation Cntr - Fairhope)
- Jack Holmes Reid Jr.
- Helen B Renner, MSW, LCSW
- Hoyt Harris Reynolds, M.D.
- Elizabeth Rezner, LMSW
- Lee D. Richards, CRNA
- Penelope Keren Richbourg, CRNP
- Robin Lea Riggins, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.