Laura Ann D'Angelo, PT, MS, NCS

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

16537 Issued in MA

Practice address

79 Cat Mousam Rd
Kennebunk, ME 04043-6924

Phone

(413) 563-6916

NPI assigned

May 16, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Pai Participant 7 PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Falmouth, ME
  • NPI 1548829872
  NPD

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1376700526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 STETSON CIR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132151028",
            "telephone_number": "413-563-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 CAT MOUSAM RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436924",
            "telephone_number": "413-563-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "PT, MS, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1228",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MA",
            "license": "16537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Lee Creisher, D.D.S.
• Carolyn C Curtis, LCSW
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• CVS State Capital, L.L.C.
• Charlotte Muriel Cyr, MSPT
• Kristin Jennifer D'Orso, P.T.
• Anne Marie Dadura, LCPC
• Kimberly Davis, LMSW-CC
• Elisabeth M. Delprete, D.O.
• Jane M Desimone, OT

• All providers in Kennebunk, ME
• Neurology Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.