Jayece R. Laudner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

767 Issued in AZ

Practice address

1485 N. Turquoise Dr.
Suite 220
Flagstaff, AZ 86001

Phone

(928) 774-6626

Fax

(928) 214-3277

NPI assigned

Apr 27, 2012

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

Other identifiers 1

Other names 1

• Jayece R. Olson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northland-Rural Therapy Associates, LLC

  • Specialist
  • Flagstaff, AZ
  • NPI 1376677914
  NPD

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1639437619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 N. TURQUOISE DR.",
            "address_2": "SUITE 220",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-774-6626",
            "fax_number": "928-214-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 N. TURQUOISE DR.",
            "address_2": "SUITE 220",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-774-6626",
            "fax_number": "928-214-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDNER",
        "first_name": "JAYECE",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "9001",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "698464",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYECE",
            "last_name": "OLSON",
            "middle_name": "R.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lea Latham, CRNP
• Kylee Ann Lattomus, MMS, PA-C
• Islay Latzig, ATC
• Riley Paige Lau, RD
• Lauren Lauder, MSW
• Debra Laughlin
• Babatunde Lawal, DO
• Lawrence a Winse DDS PC
• Mikayla Lawrence, PT, DPT
• LDFS LLC

• Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.