Active NPI
Lisa Marie Laubach, L.P.T.
- Physical Therapist
- Saint Cloud, MN
National Provider Identifier
1376518951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7338
- Practice address
- 1245 15TH St N
Saint Cloud, MN 56303-1802 - Phone
- (320) 529-0036
- NPI assigned
- Feb 17, 2006
- 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 Therapist | 225100000X | 7338 | MN | Primary |
Addresses
Primary practice location
1245 15TH St N
Saint Cloud, MN 56303-1802
Mailing address
1924 7TH St N
Sartell, MN 56377-2255
Phone (320) 249-5039
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 |
|---|---|---|---|
| 7338 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1376518951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 7TH ST N",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772255",
"telephone_number": "320-249-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 15TH ST N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563031802",
"telephone_number": "320-529-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUBACH",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "L.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.