Laura Rodholm, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9402 Issued in CO

Practice address

1685 S 21St Street
Colorado Springs, CO 80904

Phone

(719) 329-1774

Fax

(719) 634-8061

NPI assigned

Jul 7, 2011

Last updated

Jul 7, 2011By 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)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Village Physical Therapy, PC

  dba PT Solutions of Colorado

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1710026992
  NPD (past)
• Village Physical Therapy, PC

  dba PT Solutions of Colorado

  • Physical Therapist
  • Pueblo, CO
  • NPI 1992825202
  NPD (past)
• Premiere Physical Therapy & Sport Rehabilitation

  • Physical Therapist
  • Springfield, IL
  • NPI 1477660629
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1396032678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 FOREST HILL ROAD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "80863",
            "telephone_number": "719-238-7775",
            "fax_number": "719-634-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 S 21ST STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80904",
            "telephone_number": "719-329-1774",
            "fax_number": "719-634-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODHOLM",
        "first_name": "LAURA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Rodgers
• Candace Joy Rodgers, LCSW
• Jennifer Mae Rodgers, B.A.
• Melissa Rodgers, APN, PMHNP-BC
• Sarah Rodgers
• Antoinette Rodman
• Justin Blake Rodman, DO
• Suyent Rodriguez Candeaux, RBT
• Lucia Rodriguez Mendez
• Marylin Rodriguez Ramirez

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.