Individual provider Active NPI

Laura Marie Blair, PT

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1598768798
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17351 Issued in MD
Practice address
13 Western Maryland Pkwy
Ste 104
Hagerstown, MD 21740-6474
Phone
(301) 665-4575
Fax
(301) 665-4576
NPI assigned
May 23, 2005
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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 17351 MD Primary

Addresses

Primary practice location

13 Western Maryland Pkwy
Ste 104
Hagerstown, MD 21740-6474

Mailing address

13 Western Maryland Pkwy
Ste 104
Hagerstown, MD 21740-6474
Phone (301) 665-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100916000114 MD Practitioner - Physical Therapist in Private Practice 7719002633 Reassigns benefits to 2 organizations
I20210610001749 WV Practitioner - Physical Therapist in Private Practice 7719002633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17351MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 1, 2013 Accepting new patients
Rankin Physical Therapy LLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 1, 2013 Accepting new patients
Rankin Physical Therapy LLC CurrentSince May 1, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients

Locations

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

13 Western Maryland Pkwy
Ste 104
Hagerstown, MD 21740
Phone (301) 665-4575

19336 Leitersburg Pike
Hagerstown, MD 21742
Phone (301) 582-0675

23 Fitness Ln
Berkeley Springs, WV 25411
Phone (304) 258-1300

5724 Hammonds Mill Rd
Ste G
Martinsburg, WV 25404
Phone (304) 274-0123

Organizations & group practices 5

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1598768798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WESTERN MARYLAND PKWY",
            "address_2": "STE 104",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406474",
            "telephone_number": "301-665-4575",
            "fax_number": "301-665-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WESTERN MARYLAND PKWY",
            "address_2": "STE 104",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406474",
            "telephone_number": "301-665-4575",
            "fax_number": "301-665-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.