Individual provider Active NPI

Laura Ann Saylor Flett, PT

  • Physical Therapist
  • Yreka, CA
National Provider Identifier
1417952540
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9272 Issued in CA
Practice address
205 Executive CT
Yreka, CA 96097-2629
Phone
(530) 842-4381
Fax
(530) 842-9054
NPI assigned
Jun 15, 2005
Reactivated
Mar 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT9272 CA Primary

Addresses

Primary practice location

205 Executive CT
Yreka, CA 96097-2629

Mailing address

PO Box 1226
Yreka, CA 96097-1226
Phone (530) 842-4381

Other identifiers 1

IdentifierTypeStateIssuer
PT0092720MedicaidCA

Other names 1

  • Yreka Physical Therapy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Siskiyou Hospital, Inc. PastSince Mar 1, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1417952540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1226",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960971226",
            "telephone_number": "530-842-4381",
            "fax_number": "530-842-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EXECUTIVE CT",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972629",
            "telephone_number": "530-842-4381",
            "fax_number": "530-842-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETT",
        "first_name": "LAURA",
        "middle_name": "ANN SAYLOR",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-07-23",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0092720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YREKA PHYSICAL",
            "last_name": "THERAPY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yreka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.