NPIMap

Organization Active NPI

Laurel Ridge Physical Therapy & Associates

  • Pediatric Physical Therapist
  • Siler City, NC
National Provider Identifier
1609407568
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
LAUREL RIDGE PHYSICAL THERAPY & ASSOCIATES
Practice address
3188 Siler Cty Snow CP Rd
Siler City, NC 27344-7232
Phone
(919) 444-7151
Fax
(888) 220-3443
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Lisa Reynolds, PTNPI 1598836918
Title
Owner
Phone
(919) 444-7151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

3188 Siler Cty Snow CP Rd
Siler City, NC 27344-7232

Mailing address

3188 Siler Cty Snow CP Rd
Siler City, NC 27344-7232
Phone (919) 444-7151

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1609407568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3188 SILER CTY SNOW CP RD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273447232",
            "telephone_number": "919-444-7151",
            "fax_number": "888-220-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 SILER CTY SNOW CP RD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273447232",
            "telephone_number": "919-444-7151",
            "fax_number": "888-220-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL RIDGE PHYSICAL THERAPY & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-444-7151",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siler City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.