Active NPI
Laura Dale Laubhan, PT
- Physical Therapist
- Suttons Bay, MI
National Provider Identifier
1669928628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- L807802
- Practice address
- 1381 S West Bay Shore Dr
Suttons Bay, MI 49682-9498 - Phone
- (231) 271-0375
- Fax
- (231) 271-0376
- NPI assigned
- Aug 30, 2016
- 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 | L807802 | MI | Primary |
Addresses
Primary practice location
1381 S West Bay Shore Dr
Suttons Bay, MI 49682-9498
Mailing address
1381 S West Bay Shore Dr
Suttons Bay, MI 49682-9498
Phone (231) 271-0375
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L807802 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1669928628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1381 S WEST BAY SHORE DR",
"city": "SUTTONS BAY",
"state": "MI",
"postal_code": "496829498",
"telephone_number": "231-271-0375",
"fax_number": "231-271-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381 S WEST BAY SHORE DR",
"city": "SUTTONS BAY",
"state": "MI",
"postal_code": "496829498",
"telephone_number": "231-271-0375",
"fax_number": "231-271-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUBHAN",
"first_name": "LAURA",
"middle_name": "DALE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "L807802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suttons Bay, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.