Individual provider Active NPI

Laurel Joy Pawelek, PT

  • Physical Therapist
  • San Marcos, TX
National Provider Identifier
1326283243
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1118149 Issued in TX
Practice address
2301 Hunter Rd
San Marcos, TX 78666-5106
Phone
(512) 753-5868
Fax
(512) 753-5855
NPI assigned
Dec 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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 1118149 TX Primary

Addresses

Primary practice location

2301 Hunter Rd
San Marcos, TX 78666-5106

Mailing address

2301 Hunter Rd
San Marcos, TX 78666-5106
Phone (512) 753-5868

Other names 1

  • Laurel Joy Golding Former name

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

LicenseStateTypeSpecialty
1118149TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1326283243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HUNTER RD",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665106",
            "telephone_number": "512-753-5868",
            "fax_number": "512-753-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HUNTER RD",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665106",
            "telephone_number": "512-753-5868",
            "fax_number": "512-753-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWELEK",
        "first_name": "LAUREL",
        "middle_name": "JOY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1118149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "GOLDING",
            "middle_name": "JOY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.