Individual provider Active NPI

Laura Lynn Anspach, DPT

  • Orthopedic Physical Therapist
  • Charlotte, NC
National Provider Identifier
1356786636
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
P14187 Issued in NC
Practice address
2400 Park Rd Ste G-1
Charlotte, NC 28203-6072
Phone
(704) 269-8874
Fax
(704) 594-5356
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 14187 NC
Orthopedic Physical Therapist 2251X0800X P14187 NC Primary

Addresses

Primary practice location

2400 Park Rd Ste G-1
Charlotte, NC 28203-6072

Mailing address

2933 Shandon Rd
Rock Hill, SC 29730-9521
Phone (269) 944-7837

Other names 1

  • Laura Lynn Peterson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL laura@cltfullcirclept.com Direct Full Circle Physical Therapy LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130717000497 NC Practitioner - Physical Therapist in Private Practice 8426298373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Physical Therapy LLCGroup PAC ID 0941691612, 4 clinicians

Practice addresses (Care Compare)

2400 Park Rd
Suite G 1
Charlotte, NC 28203-6072
Phone (704) 269-8874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P14187NCMDOrthopedic Physical Therapist
14187NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

2400 Park Rd
Ste G1
Charlotte, NC 28203
Phone (704) 269-8874

Organizations & group practices 1

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1356786636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 SHANDON RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297309521",
            "telephone_number": "269-944-7837",
            "fax_number": "704-594-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PARK RD STE G-1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036072",
            "telephone_number": "704-269-8874",
            "fax_number": "704-594-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSPACH",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "14187",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P14187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laura@cltfullcirclept.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Full Circle Physical Therapy LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2400 Park Rd Ste G-1",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282036072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "PETERSON",
            "middle_name": "LYNN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.