Individual provider Active NPI

Laura K Crosby, MS PT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1689747578
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7285 Issued in CO
Practice address
Unit a
140 East Boardwalk Drive
Fort Collins, CO 80525-3153
Phone
(970) 223-8293
Fax
(970) 223-8219
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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 7285 CO Primary

Addresses

Primary practice location

Unit a
140 East Boardwalk Drive
Fort Collins, CO 80525-3153

Mailing address

Unit a
140 East Boardwalk Drive
Fort Collins, CO 80525-3153
Phone (970) 223-8293

Other names 1

  • Laura A Kennedy Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7285COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1689747578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIT A",
            "address_2": "140 EAST BOARDWALK DRIVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253153",
            "telephone_number": "970-223-8293",
            "fax_number": "970-223-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIT A",
            "address_2": "140 EAST BOARDWALK DRIVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253153",
            "telephone_number": "970-223-8293",
            "fax_number": "970-223-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "LAURA",
        "middle_name": "K",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KENNEDY",
            "middle_name": "A",
            "credential": "MS PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.