Laura Antonius, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

48413 Issued in CA

Practice address

2315 Stockton Blvd
Sacramento, CA 95817-2201

Phone

(916) 734-7248

NPI assigned

May 15, 2019

Last updated

May 15, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1366008245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PERRY ST APT 106",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371394",
            "telephone_number": "530-520-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-734-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIUS",
        "first_name": "LAURA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Antil, MD
• Joseph F. Antognini, M.D.
• Crystal Lynn Antolin, LMFT
• Letizia Celestina Loredana Antonietti, M.D.
• Nicholas Frank Antonino, D.O
• Kristina Antonson, M.D.
• Dawn Eileen Antrim, AMFT #142968
• Jessica Anne Antrobus
• Francesca Diane Antuna
• Charles Antwi

• Physical Therapy Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.