Active NPI
Laura Pauley
- Physical Therapy Assistant
- Pana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.002.167
- Practice address
- 101 E 9TH St
Pana, IL 62557-1785 - Phone
- (217) 562-6328
- NPI assigned
- May 25, 2021
- Last updated
- May 25, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.002.167 | IL | Primary |
Addresses
Primary practice location
101 E 9TH St
Pana, IL 62557-1785
Mailing address
101 E 9TH St
Pana, IL 62557-1785
Phone (217) 562-6328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.002.167 | IL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pana Community Hospital Association | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients |
Locations
800 E Main St
Moweaqua, IL 62550
Phone (217) 562-6305
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
dba Community Medical Clinic of Ramsey
- Multi-Specialty Clinic/Center
- Ramsey, IL
- NPI 1568651099
-
dba Ramsey Medical Group
- Rural Health Clinic/Center
- Ramsey, IL
- NPI 1598597726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1528633138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E 9TH ST",
"city": "PANA",
"state": "IL",
"postal_code": "625571785",
"telephone_number": "217-562-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E 9TH ST",
"city": "PANA",
"state": "IL",
"postal_code": "625571785",
"telephone_number": "217-562-6328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULEY",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.002.167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pana, IL
- Pana Community Hospital Association
- Pana Cusd 8
- Pana Health and Rehab Center LLC
- Pana Health and Rehab Center LLC
- Pana Medical Group
- Progressive Housing, Inc. (Park Place)
- Quad County Home Medical Supplies & Equipment
- Deogracias F Quizon, MD
- Coleen Karen Rakers, ANP-BC
- Rose Garden of Pana, LLC (Rose Garden of Pana)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.