Individual provider Active NPI

Laura Paley

  • Physical Therapist
  • New York, NY
National Provider Identifier
1730637083
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040293 Issued in NY
Practice address
1410 Broadway
New York, NY 10018-5007
Phone
(997) 212-4600
NPI assigned
Sep 15, 2016
Last updated
Apr 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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 040293 NY Primary

Addresses

Primary practice location

1410 Broadway
New York, NY 10018-5007

Mailing address

2537 32ND St
Astoria, NY 11102-1743
Phone (973) 641-0809

Other practice location 1

36 W 44th St
Suite 403
New York, NY 10036-8102
Phone (212) 759-2280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161010002088 NY Practitioner - Physical Therapist in Private Practice 7517255466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040293NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Profitness Physical Therapy PC Physical Therapist CurrentSince Jul 7, 2021 Accepting new patients
Spear Physical Therapy, LLC Physical Therapist Past Accepting new patients
Profitness Physical Therapy PastSince Jul 7, 2021 Accepting new patients

Locations

50 Court St
Ste 1210
Brooklyn, NY 11201
Phone (718) 858-6546

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

171 E 84th St
Fl 2
New York, NY 10028
Phone (212) 327-0600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1730637083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 32ND ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021743",
            "telephone_number": "973-641-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100185007",
            "telephone_number": "997-212-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 W 44th St",
            "address_2": "Suite 403",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100368102",
            "country_code": "US",
            "telephone_number": "212-759-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALEY",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.