Laura Lea Jaeger, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11642 Issued in MN

Practice address

2495 Maplewood Dr Ste 313
Maplewood, MN 55109-1985

Phone

(651) 770-8884

NPI assigned

Nov 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Lea Bonsell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• St Croix Therapy Inc

  • Physical Therapist
  • Hudson, WI
  • NPI 1669672911
  NPD

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1326684556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 RUSSELL ST APT 2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063872",
            "telephone_number": "651-769-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAPLEWOOD DR STE 313",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091985",
            "telephone_number": "651-770-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "LAURA",
        "middle_name": "LEA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BONSELL",
            "middle_name": "LEA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sanaz Jabbari, DDS
• Danielle Margaret Colette Jackson, MD
• Katrina Margaret Jackson, CNP
• Thomas R. Jacques, M.D.
• Raeann Jaeb, OTR/L
• Michael J Jaeger, PA-C
• Thyra Jagger
• Andrea Suzanne Jagusch, LICSW
• Louie Anthony Garcia Jain, MD
• Catherine Ann Jaksha, LADC, LPCC

• Physical Therapist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.