Active NPI
Lara Elizabeth Head, RPT
- Physical Therapist
- Montgomery, AL
National Provider Identifier
1598816845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2393
- Practice address
- 2511 Fairlane Dr Ste C100
Montgomery, AL 36116-1649 - Phone
- (334) 215-0034
- NPI assigned
- Jan 15, 2007
- 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 Therapist | 225100000X | 2393 | AL | Primary |
Addresses
Primary practice location
2511 Fairlane Dr Ste C100
Montgomery, AL 36116-1649
Mailing address
2511 Fairlane Dr Ste C100
Montgomery, AL 36116-1649
Phone (334) 215-0034
Other names 1
- Ms. Lara Elizabeth Head
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2393 | AL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598816845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 FAIRLANE DR STE C100",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361161649",
"telephone_number": "334-215-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 FAIRLANE DR STE C100",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361161649",
"telephone_number": "334-215-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAD",
"first_name": "LARA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "2393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LARA",
"last_name": "HEAD",
"middle_name": "ELIZABETH",
"prefix": "MS.",
"credential": "RPT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Montgomery, AL
- Mattie Alyssa Haywood, M.S. CCC-SLP
- HC Healthcare, LLC
- HCA for Baptist Health, an Affiliate of Uab Health System (Baptist Health Physician Group)
- HCA for Baptist Health, an Affiliate of Uab Health System (Montgomery Family Medicine Residency Program)
- HCA for Baptist Health, an Affiliate of Uab Health System (Centering Program Baptist Medical Center South)
- Healing Path LLC (The Healing Path)
- Healology, LLC
- Health Care Authority for Baptist Health an Affiliate of Uabhs (Baptist Medical Center East)
- Health Care Authority for Baptist Health, an Affiliate of Uabhs (Baptist Health Care Partners)
- Health Care Authority for Baptist Health, an Affiliate of Uabhs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.