Laura Fay Felty, CMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MT-93-2010-2011 Issued in MN

Practice address

3348 Sherman CT
Suite #103
Eagan, MN 55121-5006

Phone

(651) 325-8778

NPI assigned

Feb 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Laura Felty Johannsen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1578860037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 SHERMAN CT",
            "address_2": "SUITE #103",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551215006",
            "telephone_number": "651-325-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 SHERMAN CT",
            "address_2": "SUITE #103",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551215006",
            "telephone_number": "651-325-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTY",
        "first_name": "LAURA",
        "middle_name": "FAY",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MN",
            "license": "MT-93-2010-2011",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "MN",
            "license": "MT-93-2010-2011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "JOHANNSEN",
            "middle_name": "FELTY",
            "credential": "CMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ramla Hallane Farah
• Ann Clara Fasching
• Kristin M Fellows, D.C.
• Felten Chiropractic PA (HealthSource of Apple Valley)
• Anthony Mark Felten, D.C.
• Chayla Fenske, BA
• Derek Ferebee, PT, DPT, CSCS
• Ann Marie Ferguson, M.D.
• Omar Fernandes, PA-C, MSPAS, MPH
• Marelvis Ferrer, PHARM.D.

• Mechanotherapist in Eagan, MN
• Providers in Eagan, MN by specialty
• Mechanotherapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.