Active NPI
Elizabeth Anne Laubisch, PT, DPT
- Physical Therapist
- Vestal, NY
National Provider Identifier
1649783556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042546
- Practice address
- 4433 Vestal Pkwy E
Vestal, NY 13850-3556 - Phone
- (607) 762-2176
- Fax
- (607) 762-2044
- NPI assigned
- Nov 14, 2017
- 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 | 042546 | NY | Primary |
Addresses
Primary practice location
4433 Vestal Pkwy E
Vestal, NY 13850-3556
Mailing address
33 Lewis Rd
2ND FL
Binghamton, NY 13905
Phone (607) 770-0025
Other practice location 1
17 Charles St
Binghamton, NY 13905-2484
Phone (607) 771-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| United Medical Associates PC | Past | Accepting new patients |
Locations
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
1290 Upper Front St
Binghamton, NY 13901
Phone (607) 722-3417
4433 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 762-2176
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1649783556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LEWIS RD",
"address_2": "2ND FL",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-770-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4433 VESTAL PKWY E",
"city": "VESTAL",
"state": "NY",
"postal_code": "138503556",
"telephone_number": "607-762-2176",
"fax_number": "607-762-2044"
}
],
"practiceLocations": [
{
"address_1": "17 Charles St",
"address_purpose": "LOCATION",
"city": "Binghamton",
"state": "NY",
"postal_code": "139052484",
"country_code": "US",
"telephone_number": "607-771-8181",
"fax_number": "607-772-2899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAUBISCH",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-14",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.