Active NPI
Laura M Carroll, PT
- Physical Therapist
- West Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008476A
- Practice address
- 152 Sagamore Pkwy W
West Lafayette, IN 47906-1569 - Phone
- (765) 463-2200
- Fax
- (765) 463-3625
- NPI assigned
- Jun 26, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05008476A | IN | Primary |
| Physical Therapist | 225100000X | 8099 | AZ |
Addresses
Primary practice location
152 Sagamore Pkwy W
West Lafayette, IN 47906-1569
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other practice location 1
3806 Amelia Ave
Lafayette, IN 47905-5772
Phone (765) 807-2773
Other practice location 2
424 W Division St
Remington, IN 47977-8715
Phone (765) 807-2773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
152 Sagamore Pkwy W
West Lafayette, IN 47906-1569
Phone (765) 463-2200
3806 Amelia Ave
Lafayette, IN 47905-5772
Phone (765) 807-2773
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8099 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll Pelvic Health and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
| Miracles Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Armendariz Medical Associates LLC | Past | Accepting new patients | |
| Arizona Vulva Clinic, PLLC | Past | Accepting new patients |
Locations
3806 Amelia Ave
Lafayette, IN 47905
Phone (765) 807-2773
424 W Division St
Remington, IN 47977
Phone (765) 807-2773
152 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 423-6556
Organizations & group practices 4
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.
-
- Physical Therapist
- Lafayette, IN
- NPI 1457178436
-
- Physical Therapist
- West Lafayette, IN
- NPI 1992646905
-
- Gynecology Physician
- Phoenix, AZ
- NPI 1629241807
-
- Specialist
- Phoenix, AZ
- NPI 1659757268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1700048121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4699",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479034699",
"telephone_number": "765-449-2732",
"fax_number": "765-449-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 SAGAMORE PKWY W",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061569",
"telephone_number": "765-463-2200",
"fax_number": "765-463-3625"
}
],
"practiceLocations": [
{
"address_1": "3806 Amelia Ave",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479055772",
"country_code": "US",
"telephone_number": "765-807-2773",
"fax_number": "765-807-2774",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "424 W Division St",
"address_purpose": "LOCATION",
"city": "Remington",
"state": "IN",
"postal_code": "479778715",
"country_code": "US",
"telephone_number": "765-807-2773",
"fax_number": "765-807-2774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "LAURA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008476A",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8099",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.