Laura Caldwell, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

001352 Issued in WV

Practice address

Amedisys Home Health Care
8942 Seneca Trail South
Ronceverte, WV 24970

Phone

(304) 645-7474

NPI assigned

Jun 1, 2023

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Laura Caldwell Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2023.

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1407549751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AMEDISYS HOME HEALTH CARE",
            "address_2": "8942 SENECA TRAIL SOUTH",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "24970",
            "telephone_number": "304-645-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AMEDISYS HOME HEALTH CARE",
            "address_2": "8942 SENECA TRAIL SOUTH",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "24970",
            "telephone_number": "304-645-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "LAURA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "001352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CALDWELL",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Camc Greenbrier Valley Medical Center, Inc.

• All providers in Ronceverte, WV
• Physical Medicine & Rehabilitation Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.