Lauren E. Loback, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2518-19 Issued in WI

Practice address

3922 Mercy Dr
McHenry, IL 60050-3179

Phone

(815) 344-3700

Fax

(815) 344-3241

NPI assigned

Nov 16, 2016

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

• Lauren E. Nellessen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1366984783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 MERCY DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503179",
            "telephone_number": "815-344-3700",
            "fax_number": "815-344-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 MERCY DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503179",
            "telephone_number": "815-344-3700",
            "fax_number": "815-344-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBACK",
        "first_name": "LAUREN",
        "middle_name": "E.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2518-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "NELLESSEN",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lily Rosenda Link, RN
• Erin Liston
• Living Springs of McHenry (Heritage Woods of McHenry)
• Lmes, Corporation (Innovative Psychology Counseling Services)
• Hiu Ching Lo, M.A. CCC-SLP/L
• Kiley C Loch, APRN
• Amanda Marie Lodato
• Reba Christine Long
• David Lopata, M.D.
• Angela Lizbeth Lopez-Leon

• Physical Therapy Assistant in McHenry, IL
• Providers in McHenry, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.