Mary Robertson Lafar, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6503 Issued in NC

Practice address

117 E Kings Hwy
Eden, NC 27288-5201

Phone

(336) 623-9711

NPI assigned

May 15, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1710477849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 RIDGEWAY DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031531",
            "telephone_number": "336-988-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E KINGS HWY",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885201",
            "telephone_number": "336-623-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFAR",
        "first_name": "MARY",
        "middle_name": "ROBERTSON",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "6503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne B King, M.D.
• Robert Alan Klein, DPM
• Suresh A Koneswaran, M.D.
• Justin Thomas Koontz, DMD
• Sean Leonard Kyle, PA-C
• Frank Justin Lauzau, M.D.
• Laverne'S Haven Residential Services
• Inger M. Law, MD
• Keith Elvin Layne, RPH
• Kevin Richard Layne, RPH

• Physical Therapy Assistant in Eden, NC
• Providers in Eden, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.