Laura Juzeszyn, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001878A Issued in IN

Practice address

567 N 5TH St
SS 172
Terre Haute, IN 47809-1903

Phone

(812) 237-9613

Fax

(812) 237-9612

NPI assigned

Nov 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indiana State University

  • Physical Therapist
  • Terre Haute, IN
  • NPI 1063612257
  NPD (past)
• Indiana State University

  • Clinical Psychologist
  • Terre Haute, IN
  • NPI 1710097696
  NPD (past)

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1629355219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S MAPLE ST",
            "address_2": "P.O. BOX 184",
            "city": "CLIFTON",
            "state": "IL",
            "postal_code": "609279411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 N 5TH ST",
            "address_2": "SS 172",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478091903",
            "telephone_number": "812-237-9613",
            "fax_number": "812-237-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUZESZYN",
        "first_name": "LAURA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001878A",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.003173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jr Scripts Pharmacy No 1 LLC
• Judson Family Vision Care, LLC
• Amanda Elaine Judson, O.D., M.S., FCOVD
• Allison Lee Judy, ATC
• Jeffrey A Jungers, M.D.
• Neil G Kabous, MD
• Sarah Kachman, N.P.
• Leamor Kahanov, EDD, ATC
• Abigail Karius, MD
• Prakash Karki, M.D.

• Athletic Trainer in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.