Active NPI
Lisa Laclair
- Physical Therapy Assistant
- La Plata, MD
National Provider Identifier
1669665261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A3163
- Practice address
- 1 Magnolia Dr
La Plata, MD 20646-9357 - Phone
- (301) 934-4001
- NPI assigned
- Aug 27, 2007
- 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 Therapy Assistant | 225200000X | A3163 | MD | Primary |
Addresses
Primary practice location
1 Magnolia Dr
La Plata, MD 20646-9357
Mailing address
9135 Sadie LN
La Plata, MD 20646-4908
Phone (301) 934-4001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3163 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1669665261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9135 SADIE LN",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206464908",
"telephone_number": "301-934-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MAGNOLIA DR",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206469357",
"telephone_number": "301-934-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACLAIR",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A3163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Plata, MD
- La Plata Pediatrics & Family Health, LLC
- La Plata Pediatrics & Family Health, LLC
- La Plata Physical Therapy
- La Plata Physical Therapy
- Lea Nicole Lacefield, CRNP
- Vanessa Artrice Lamison
- Laplata Ambulatory Urological Center, L.L.C.
- Laplata Urology Center,LLC
- Emily Theresa Laver
- Monica Michelle Leak, M.A .CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.