Laura Jean Carlson

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1267 Brendan Dr
Morris, IL 60450-2425

Phone

(815) 953-5472

NPI assigned

Jul 15, 2010

Last updated

Jul 15, 2010By the provider in NPPES

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

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1750694048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 BRENDAN DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502425",
            "telephone_number": "815-953-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 BRENDAN DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502425",
            "telephone_number": "815-953-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn K Byers, PT
• Hector Enrique Cabrera, DMD
• Elizabeth Ann Cacello
• Kimberly A. Calhoun, LCPC,CRC
• Rebecca Capshaw, PHARMD
• Sean Carter, PT
• Cary Ann Jenkins, MD, LLC (Morris Dermatology)
• Deirdre Casagrande, APRN
• Catholic Charities of the Diocese of Joliet
• Centers for Foot and Ankle Surgery

• Developmental Therapist in Morris, IL
• Providers in Morris, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.