Individual provider Active NPI

Laura Keprta

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1710096383
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4200 W Peterson Ave
Suite 102
Chicago, IL 60646-6074
Phone
(773) 545-6885
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 Primary

Addresses

Primary practice location

4200 W Peterson Ave
Suite 102
Chicago, IL 60646-6074

Mailing address

136 Florence Ave
Evanston, IL 60202-3764
Phone (847) 733-0832

Other identifiers 1

IdentifierTypeStateIssuer
70009697OtherILLICENSE#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709001108 TX Practitioner - Physical Therapist in Private Practice 8325295504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthotexas Physicians and Surgeons, PLLCGroup PAC ID 3375724792, 35 clinicians

Practice addresses (Care Compare)

4031 W Plano Pkwy
Suite 100
Plano, TX 75093-5617
Phone (972) 985-1072

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotexas Physicians and Surgeons, PLLC Current Accepting new patients
Orthotexas Physicians and Surgeons, PLLC CurrentSince Jul 13, 2015 Accepting new patients
Orthotexas Physicians and Surgeons, PLLC CurrentSince Jul 13, 2015 Accepting new patients
Orthopaedic Associates of North Texas PA Past Accepting new patients
Select Physical Therapy Limited Partnership for Better Living Past Accepting new patients

Locations

5757 Warren Pkwy
Ste 180
Frisco, TX 75034
Phone (214) 618-5502

4031 W Plano Pkwy
Ste 200
Plano, TX 75093
Phone (972) 596-1715

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

Interoperability endpoints

  • Direct secure messaging: laura.keprta.1@15749.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710096383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 FLORENCE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023764",
            "telephone_number": "847-733-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE",
            "address_2": "SUITE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466074",
            "telephone_number": "773-545-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPRTA",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "70009697",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.