Active NPI
Laura Jo Lobosco, PTA
- Physical Therapy Assistant
- Stuart, FL
National Provider Identifier
1356627293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 22790
- Practice address
- 104 SE Lonita Street
Stuart, FL 34994-3447 - Phone
- (772) 463-2344
- Fax
- (772) 463-9565
- NPI assigned
- Oct 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 22790 | FL | Primary |
Addresses
Primary practice location
104 SE Lonita Street
Stuart, FL 34994-3447
Mailing address
104 SE Lonita Street
Stuart, FL 34994-3447
Phone (772) 463-2344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA22790 | Other | FL | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22790 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1356627293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 SE LONITA STREET",
"city": "STUART",
"state": "FL",
"postal_code": "349943447",
"telephone_number": "772-463-2344",
"fax_number": "772-463-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 SE LONITA STREET",
"city": "STUART",
"state": "FL",
"postal_code": "349943447",
"telephone_number": "772-463-2344",
"fax_number": "772-463-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBOSCO",
"first_name": "LAURA",
"middle_name": "JO",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "22790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PTA22790",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.