Individual provider Active NPI

Laura Elizabeth Ecklund

  • Physical Therapist
  • Skowhegan, ME
National Provider Identifier
1295519148
Registry record updated Apr 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7073 Issued in ME
Practice address
23 Cedar Ridge Dr
Skowhegan, ME 04976-4160
Phone
(207) 474-9686
NPI assigned
Aug 22, 2023
Last updated
Apr 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4556 NE
Physical Therapist 225100000X PT7073 ME Primary

Addresses

Primary practice location

23 Cedar Ridge Dr
Skowhegan, ME 04976-4160

Mailing address

17017 Karen St
Omaha, NE 68135-1486
Phone (402) 670-3137

Other practice location 1

1537 Mount Hood Ave Ste 103
Woodburn, OR 97071-9098
Phone (503) 980-9390

Other practice location 2

8642 SW Main St
Wilsonville, OR 97070-6585
Phone (503) 855-4909

Other practice location 3

5388 Discovery Park Blvd Ste 100
Williamsburg, VA 23188-8218
Phone (757) 707-3955

Other practice location 4

201 Bulifants Blvd Ste B
Williamsburg, VA 23188-5731
Phone (757) 707-3955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, VA, RI, ID, AK5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240118004608 AZ Practitioner - Physical Therapist in Private Practice 1557725975 Reassigns benefits to 1 organization
I20240819000096 VA Practitioner - Physical Therapist in Private Practice 1557725975 Reassigns benefits to 1 organization
I20250117002991 RI Practitioner - Physical Medicine and Rehabilitation 1557725975 Reassigns benefits to 1 organization
I20260223002271 ID Practitioner - Physical Therapist in Private Practice 1557725975 Reassigns benefits to 1 organization
I20260402004022 AK Practitioner - Physical Therapist in Private Practice 1557725975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

912 S Washington Ave
Emmett, ID 83617-3501
Phone (208) 365-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4556AZMDPsychologist
PT7073MEMDPhysical Therapist
4556NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Dec 9, 2023 Accepting new patients
Elite Physical Therapy, LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Jan 10, 2026 Accepting new patients
Fusion Chiropractic, LLC CurrentSince Apr 24, 2022 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Dec 9, 2023 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Comber Physical Therapy, LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

2222 E Highland Ave
Ste 310
Phoenix, AZ 85016
Phone (602) 512-8550

912 S Washington Ave
Emmett, ID 83617
Phone (208) 365-4400

1800 Flandro Dr
Ste 190
Pocatello, ID 83202
Phone (208) 233-2248

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

365 Westfield St
Silverton, OR 97381
Phone (503) 873-6111

8642 SW Main St
Ste 130
Wilsonville, OR 97070
Phone (503) 685-9841

1537 Mount Hood Ave
Ste 103
Woodburn, OR 97071
Phone (503) 980-9390

594 Great Rd
North Smithfield, RI 02896
Phone (401) 597-5840

535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581

201 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740

5388 Discovery Park Blvd
#2
Williamsburg, VA 23188

5388 Discovery Park Blvd
Ste 100
Williamsburg, VA 23188
Phone (757) 707-3955

5388 Discovery Park Blvd
Ste 200
Williamsburg, VA 23188

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744502400000",
    "number": "1295519148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17017 KAREN ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351486",
            "telephone_number": "402-670-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CEDAR RIDGE DR",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049764160",
            "telephone_number": "207-474-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1537 Mount Hood Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Woodburn",
            "state": "OR",
            "postal_code": "970719098",
            "country_code": "US",
            "telephone_number": "503-980-9390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8642 SW Main St",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970706585",
            "country_code": "US",
            "telephone_number": "503-855-4909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5388 Discovery Park Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231888218",
            "country_code": "US",
            "telephone_number": "757-707-3955",
            "fax_number": "757-603-6231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Bulifants Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885731",
            "country_code": "US",
            "telephone_number": "757-707-3955",
            "fax_number": "757-603-6231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKLUND",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4556",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT7073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skowhegan, ME

Sources for this page

Verify at the official NPI Registry.