Laura Kathleen Wilson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298343 Issued in CA

Practice address

10738 Riverside Dr Ste a
Toluca Lake, CA 91602-2372

Phone

(818) 766-4307

NPI assigned

May 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Care Sports Medicine and Rehabilitation Center IncGroup PAC ID 6406179274, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performance Care Sports Medicine & Rehabilitation Center, Inc.

  • Internal Medicine Physician
  • Toluca Lake, CA
  • NPI 1487880399
  Medicare reassignment Care Compare group NPD
• Hands on Physical Therapy, LLC

  dba Hands on Physical Therapy

  • Physical Therapist
  • Round Rock, TX
  • NPI 1215107537
  NPD (past)
• Interventional Spine and Pain Physicians, PA

  • Specialist
  • Maple Grove, MN
  • NPI 1326398561

  Physical Therapist

  NPD (past)
• Physicians' Diagnostics & Rehabilitation,LTD

  • Physical Medicine & Rehabilitation Physician
  • Edina, MN
  • NPI 1073626081

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1558537977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10738 RIVERSIDE DR STE A",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022372",
            "telephone_number": "818-766-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10738 RIVERSIDE DR STE A",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022372",
            "telephone_number": "818-766-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAURA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1154410",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Andrea Wallen, D.P.M.
• Alex Walters, MA, BA
• Arthur William Weiss
• Marc Weiss, LMFT
• Stephen Kimo Williams, CMT
• Robert Graham Wise Jr., MD
• Anthony Corleone Yedigaryan
• Dennis Yenn, D.P.M.
• Lawrence H. Zabner, DMD

• Physical Therapist in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.

Verify at the official NPI Registry.