Laurie J. Spanbauer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

685019 Issued in WI

Practice address

440 Wells St
Suite 200
Delafield, WI 53018-1409

Phone

(715) 389-6468

NPI assigned

Jan 6, 2010

Last updated

Jan 6, 2010By 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

State licenses

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1376873778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 S PARK AVE",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544512104",
            "telephone_number": "715-748-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WELLS ST",
            "address_2": "SUITE 200",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181409",
            "telephone_number": "715-389-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANBAUER",
        "first_name": "LAURIE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "685019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Delafield, WI
• Providers in Delafield, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.