Kali Jeanne Larue, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

P57826 Issued in NY

Practice address

790 Ayrault Road
Star Physical Therapy
Fairport, NY 14450

Phone

(585) 425-1018

Fax

(585) 425-8955

NPI assigned

Jul 6, 2007

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 names 1

• Kali Spoto Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Star Physical Therapy PLLCGroup PAC ID 0648238832, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Star Physical Therapy PLLC

  • Orthopedic Physical Therapist
  • Fairport, NY
  • NPI 1003962523
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1699973149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 AYRAULT RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508981",
            "telephone_number": "585-425-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 AYRAULT ROAD",
            "address_2": "STAR PHYSICAL THERAPY",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "14450",
            "telephone_number": "585-425-1018",
            "fax_number": "585-425-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUE",
        "first_name": "KALI",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "P57826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALI",
            "last_name": "SPOTO",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christy M Lamberton, RN
• Danielle Marie Lane, RN
• Victoria Laneri
• Amy Lang Lagergren, RN
• Sarah Larmann
• Lauren Lashomb
• Corinne Law, TEACHER OF DEAF
• Diane Lawatsch, RPH
• Lindsay Anne Layer, OTD OTR/L
• Andrew Alexander Lazzaro, D.C.

• Orthopedic Physical Therapist in Fairport, NY
• Providers in Fairport, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.