Active NPI
Laarni Ilagan
- Physical Therapist
- Woolwich TWP, NJ
National Provider Identifier
1477780450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019066
- Practice address
- 38 Buckeye Rd
Woolwich TWP, NJ 08085-3169 - Phone
- (856) 241-8858
- NPI assigned
- Jun 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT019066 | PA | Primary |
| Physical Therapist | 225100000X | 026706 | NY |
Addresses
Primary practice location
38 Buckeye Rd
Woolwich TWP, NJ 08085-3169
Mailing address
38 Buckeye Rd
Woolwich TWP, NJ 08085-3169
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019066 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1477780450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 BUCKEYE RD",
"city": "WOOLWICH TWP",
"state": "NJ",
"postal_code": "080853169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 BUCKEYE RD",
"city": "WOOLWICH TWP",
"state": "NJ",
"postal_code": "080853169",
"telephone_number": "856-241-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILAGAN",
"first_name": "LAARNI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019066",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026706",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woolwich TWP, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.