Eric J. Laudenslager

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT8450 Issued in CA

Legal business name

ERIC J. LAUDENSLAGER

Practice address

1630 W Redlands Blvd
L
Redlands, CA 92373-8032

Phone

(909) 797-5155

Fax

(909) 797-2768

NPI assigned

Sep 14, 2007

Organization subpart

No

Name

Eric Laudenslager, M.P.T.NPI 1063561504

Title

PT/Owner

Phone

(909) 797-5155

Organizations that report the same tax identification number in the National Provider Directory.

• Eric J. Laudenslager

  • Physical Therapy Clinic/Center
  • Yucaipa, CA
  • NPI 1790970218
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric John Laudenslager, M.P.T.

  • Physical Therapist
  • Yucaipa, CA
  • NPI 1063561504
  NPD (past) Authorized official
• Tyler Jason Denn-Thiele, DPT

  • Physical Therapist
  • Yucaipa, CA
  • NPI 1285119388
  NPD (past)
• Nariba Maycock Gibson, DPT

  • Physical Therapist
  • Yucaipa, CA
  • NPI 1568446771
  NPD (past)
• Cristina Perillo, DPT

  • Physical Therapist
  • Rancho Cucamonga, CA
  • NPI 1497381909
  NPD (past)

Tax ID family

Eric J Laudenslager (2 organizations share this tax ID)

Locations

• Yucaipa Physical Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2008.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1457547291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33492 OAK GLEN RD",
            "address_2": "H",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992096",
            "telephone_number": "909-797-5155",
            "fax_number": "909-797-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W REDLANDS BLVD",
            "address_2": "L",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738032",
            "telephone_number": "909-797-5155",
            "fax_number": "909-797-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J. LAUDENSLAGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "LAUDENSLAGER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "909-797-5155",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT8450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00PT84502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yucaipa Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Alexis Enriquez
• Lauren A Enriquez, LMFT
• Mary M Entezar
• Epic Health Plan
• Epifania V Nicolas
• Danielle Eriksen, BA
• Sotero J Escarza, M.D.
• Monika Cosette Barberena Escobar, OTR/L
• Nicolas Robert Escobar, PT, DPT
• Kellie Danielle Eshom

• All providers in Redlands, CA
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.