Individual provider Active NPI

Laura K Shaban, DPT

  • Physical Therapist
  • Rocky Hill, CT
National Provider Identifier
1326425133
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9338 Issued in CT
Practice address
1975 Silas Deane Hwy
Rocky Hill, CT 06067-1309
Phone
(860) 513-1431
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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 9338 CT Primary

Addresses

Primary practice location

1975 Silas Deane Hwy
Rocky Hill, CT 06067-1309

Mailing address

85 Nob Hill Rd
Cheshire, CT 06410-1709
Phone (203) 592-7439

Other practice location 1

1260 E Main St
Meriden, CT 06450-4806
Phone (203) 630-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210503001097 CT Practitioner - Physical Therapist in Private Practice 7416366570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center of Rocky Hill, LLC Physical Therapist CurrentSince Apr 19, 2021 Accepting new patients
Diversified Physical Therapy, LLC PastSince Oct 1, 2020 Accepting new patients

Locations

1975 Silas Deane Hwy
Rocky Hill, CT 06067
Phone (860) 513-1431

Organizations & group practices 2

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1326425133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 NOB HILL RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101709",
            "telephone_number": "203-592-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671309",
            "telephone_number": "860-513-1431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 E Main St",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064504806",
            "country_code": "US",
            "telephone_number": "203-630-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABAN",
        "first_name": "LAURA",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.