Individual provider Active NPI

Amanda Lynn Labo, D.P.T.

  • Physical Therapist
  • East Lansing, MI
National Provider Identifier
1477701720
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013518 Issued in MI
Practice address
2775 East Lansing Dr.
East Lansing, MI 48911
Phone
(517) 332-1616
Fax
(517) 336-4797
NPI assigned
Aug 28, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 5501013518 MI Primary

Addresses

Primary practice location

2775 East Lansing Dr.
East Lansing, MI 48911

Mailing address

2775 East Lansing Dr.
East Lansing, MI 48911
Phone (517) 332-1616

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

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1477701720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 EAST LANSING DR.",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-332-1616",
            "fax_number": "517-336-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 EAST LANSING DR.",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-332-1616",
            "fax_number": "517-336-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABO",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.