Individual provider Active NPI

Laura Louise Eisenzopf, MS, PT, DPT

  • Physical Therapist
  • Roslyn Heights, NY
National Provider Identifier
1285879015
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025794-1 Issued in NY
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

Updated by the provider on Feb 21, 2012

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 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

LicenseStateTypeSpecialty
025794-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.