Laura Clevenger Straut, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-27422 Issued in FL

Practice address

417 5TH Ave
Apt 101
Indialantic, FL 32903-4224

Phone

(321) 773-8155

Fax

(321) 773-8154

NPI assigned

Dec 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1609112200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 E EAU GALLIE BLVD",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374252",
            "telephone_number": "321-773-8155",
            "fax_number": "321-773-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 5TH AVE",
            "address_2": "APT 101",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034224",
            "telephone_number": "321-773-8155",
            "fax_number": "321-773-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUT",
        "first_name": "LAURA",
        "middle_name": "CLEVENGER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT-27422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James E Steele, D.O.
• Wayne S Stein, PSY.D.
• Arthur Stember, MD
• Charles S Stewart III, MD
• Tammy Kaliko Willingham, Inc.
• Jaclyn Taylor, ARNP
• Carrie Alison Teagan, MD
• Jessica Termini, LMHC
• The Health Hub

• Physical Therapist in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.