Individual provider Active NPI

Sabrina Laukonen

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1497109086
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2224 Issued in AZ
Practice address
1012 E Willetta St
Phoenix, AZ 85006-2749
Phone
(602) 839-2317
NPI assigned
Apr 20, 2016
Last updated
Apr 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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 2224 AZ Primary

Addresses

Primary practice location

1012 E Willetta St
Phoenix, AZ 85006-2749

Mailing address

1012 E Willetta St
Phoenix, AZ 85006-2749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728001120 AZ Practitioner - Physical Therapist in Private Practice 9436442415 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2224AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2018 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation LLC CurrentSince Mar 1, 2018 Accepting new patients

Locations

10750 W McDowell Rd
Ste B210
Avondale, AZ 85392
Phone (623) 826-8633

13055 W McDowell Rd
Ste G107
Avondale, AZ 85392
Phone (623) 243-0256

20770 W Market St
Ste 106
Buckeye, AZ 85396
Phone (623) 278-7520

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456

126 E Main St
Ste C
Payson, AZ 85541
Phone (928) 468-8907

14001 N 7th St
Ste A102
Phoenix, AZ 85022
Phone (602) 548-5445

1661 E Camelback Rd
Ste 152
Phoenix, AZ 85016
Phone (602) 955-8885

20045 N 19th Ave
Bldg 8
Phoenix, AZ 85027
Phone (623) 374-2424

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

10503 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351
Phone (623) 537-9730

14418 W Meeker Blvd
Ste B301
Sun City West, AZ 85375

13951 W Grand Ave
Ste 201
Surprise, AZ 85374
Phone (623) 537-9730

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1497109086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062749",
            "telephone_number": "602-839-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUKONEN",
        "first_name": "SABRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.