Earley Pediatric Therapy, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

070-008568 Issued in IL

Legal business name

EARLEY PEDIATRIC THERAPY, LLC

Practice address

912 S Dymond Rd
Libertyville, IL 60048-3532

Phone

(847) 204-9960

Fax

(847) 816-7559

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Laurie C Earley, P.T.NPI 1295877389

Title

Physical Therapist

Phone

(847) 204-9960

Specialties & licenses 1

Addresses

Practitioners 1

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

• Laurie C Earley, P.T.

  • Physical Therapist
  • Libertyville, IL
  • NPI 1295877389

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1487820205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S DYMOND RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483532",
            "telephone_number": "847-204-9960",
            "fax_number": "847-816-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S DYMOND RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483532",
            "telephone_number": "847-204-9960",
            "fax_number": "847-816-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLEY PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "EARLEY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "847-204-9960",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070-008568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Dunsey, LCPC
• Matthew Abel Duran
• Jassica A Durek, CCC-SLP
• Duzey Family Chiropractic
• Kylie Dyer
• Laurie C Earley, P.T.
• Pamela Eckhardt, FNP
• Christa Dawn Ede, APRN, CRNA
• Charlotte D Edwards, PSY.D
• Terraya Edwards

• Pediatric Physical Therapist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.