Laurie Valloneshimko, MPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT0014414 Issued in FL

Practice address

1626 Sheffield PL
Orange Park, FL 32073-5268

Phone

(904) 269-7751

NPI assigned

Dec 21, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Clay Physical Therapy PA

  • Physical Therapist
  • Orange Park, FL
  • NPI 1902075914
  Medicare reassignment NPD

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1659357705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320670505",
            "telephone_number": "904-269-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 SHEFFIELD PL",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735268",
            "telephone_number": "904-269-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLONESHIMKO",
        "first_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT0014414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDWAIVER PROVIDER NUMBER",
            "identifier": "675795996",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885134400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Usmedped
• Kerstin Ann Uzelac, PA-C
• Maria Vachachira
• Anthony Valachovic, MD
• Bethany Valentin
• Teresa Michelle Van Meter
• Elizabeth Rose Vandenbroek, PT
• Wileen Loretta Vandenoever, LICSW
• Candice L Vanderschaaf
• Karin Herzele Vangura, MD

• Specialist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.