Active NPI
Laura Louise Eisenzopf, MS, PT, DPT
- Physical Therapist
- Roslyn Heights, NY
National Provider Identifier
1285879015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025794-1
- Practice address
- 1 Expressway PLZ Ste 106
Roslyn Heights, NY 11577-2069 - Phone
- (516) 621-2681
- NPI assigned
- Dec 8, 2008
- 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 | 025794-1 | NY | Primary |
Addresses
Primary practice location
1 Expressway PLZ Ste 106
Roslyn Heights, NY 11577-2069
Mailing address
9033 70TH Dr
Forest Hills, NY 11375-6617
Phone (718) 544-0327
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025794-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Extraordinary Pediatrics, PC | Past | 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 and National Provider Directory roles.
-
- Developmental - Behavioral Pediatrics Physician
- New Hyde Park, NY
- NPI 1487817250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1285879015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9033 70TH DR",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756617",
"telephone_number": "718-544-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EXPRESSWAY PLZ STE 106",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772069",
"telephone_number": "516-621-2681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENZOPF",
"first_name": "LAURA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "MS, PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-08",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "025794-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.