Laura Rose Brock

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2400 Arnold Palmer Blvd
Louisville, KY 40245-3222

Phone

(631) 220-1581

NPI assigned

Feb 1, 2019

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

• Laura Listerman Former name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Next PT Group Kentucky, LLC

  • Physical Therapist
  • Louisville, KY
  • NPI 1861962581
  Medicare reassignment NPD

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1730644964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 56TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223609",
            "telephone_number": "212-355-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ARNOLD PALMER BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402453222",
            "telephone_number": "631-220-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "LAURA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "LISTERMAN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Christina Brock, LCSW, LMFT. MBA
• Charlotte Brock, COTA/L
• Courtney Lynn Brock, M.S., CCC-SLP
• Jamie Brock
• Jessica C Brock, PA-C
• Leslie Brooke Brock, MS OTR/L
• Loriann E Brock, OTR/L
• Lorinda A Brock, RBT
• Madalyn Brock, OTR/L
• Naklesa Tonette Brock, FNP-C

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.