Individual provider Active NPI

Grace Laughlin

  • Physical Therapist
  • York, ME
National Provider Identifier
1669088431
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
764 US Route 1 Ste 4
York, ME 03909-5906
Phone
(207) 351-3078
Fax
(207) 351-3083
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

764 US Route 1 Ste 4
York, ME 03909-5906

Mailing address

764 US Route 1 Ste 4
York, ME 03909-5906
Phone (207) 351-3078

Other identifiers 1

IdentifierTypeStateIssuer
PT5749OtherMELICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL York Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wiggle Worms Pediatric Physical Therapy, LLC Physical Therapist PastSince Sep 20, 2020 Accepting new patients
Wiggle Worms Pediatric Physical Therapy, LLC PastSince Sep 20, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1669088431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 US ROUTE 1 STE 4",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039095906",
            "telephone_number": "207-351-3078",
            "fax_number": "207-351-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 US ROUTE 1 STE 4",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039095906",
            "telephone_number": "207-351-3078",
            "fax_number": "207-351-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT5749",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "York",
            "affiliation": "N",
            "endpointDescription": "Apollo",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "York",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "764 US Route 1 Ste 4",
            "city": "York",
            "state": "ME",
            "country_code": "US",
            "postal_code": "039095906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.