Individual provider Active NPI

Laurie Artzerounian, PT

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1467857946
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29737 Issued in FL
Practice address
250 Cherry Ridge Dr
Apt 1236
Jacksonville, FL 32222-2876
Phone
(860) 205-7838
NPI assigned
Oct 27, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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 29737 FL Primary

Addresses

Primary practice location

250 Cherry Ridge Dr
Apt 1236
Jacksonville, FL 32222-2876

Mailing address

250 Cherry Ridge Dr
Apt 1236
Jacksonville, FL 32222-2876
Phone (860) 205-7838

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

State licenses

LicenseStateTypeSpecialty
29737FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1467857946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CHERRY RIDGE DR",
            "address_2": "APT 1236",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222876",
            "telephone_number": "860-205-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHERRY RIDGE DR",
            "address_2": "APT 1236",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222876",
            "telephone_number": "860-205-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTZEROUNIAN",
        "first_name": "LAURIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "29737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.