Laura J Vincent, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

116297 Issued in MO

Practice address

36 Sungrove Dr
Maryland Heights, MO 63043-1248

Phone

(314) 599-1705

NPI assigned

Dec 17, 2012

Sex

Female

Sole proprietor

Yes

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": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1376889576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SUNGROVE DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431248",
            "telephone_number": "314-599-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SUNGROVE DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431248",
            "telephone_number": "314-599-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "LAURA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "116297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Tyskowski, LPC
• Marissa Kathryn Uecker
• US Medgroup of Kansas PA
• Janette Patricia Valentine
• Mark Veenhuis, OD
• Ashley Renee Vogt, D.C.
• Austin Wagner, PHARMD
• Denise Jacqueline Wagster, FNP-C
• Walgreen Co
• Sarah Noel Walsh, MD

• Physical Therapy Assistant in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.