Active NPI
Laura Ann Harley, R.P.T.
- Physical Therapist
- San Diego, CA
National Provider Identifier
1740473057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4668
- Practice address
- 5252 El Cajon Blvd
Suite B
San Diego, CA 92115-4710 - Phone
- (714) 901-4200
- Fax
- (714) 903-9425
- NPI assigned
- Aug 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4668 | CA | Primary |
Addresses
Primary practice location
5252 El Cajon Blvd
Suite B
San Diego, CA 92115-4710
Mailing address
7400 Center Ave
Suite 106
Huntington Beach, CA 92647-3094
Phone (714) 904-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4668 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intergro Resources, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1740473057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 CENTER AVE",
"address_2": "SUITE 106",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473094",
"telephone_number": "714-904-4200",
"fax_number": "714-903-9425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5252 EL CAJON BLVD",
"address_2": "SUITE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154710",
"telephone_number": "714-901-4200",
"fax_number": "714-903-9425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLEY",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "4668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.