Laura Elena Black, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

1168830 Issued in TX

Practice address

1420 Shoreview CV
Austin, TX 78732-2233

Phone

(512) 299-4626

NPI assigned

Apr 13, 2015

Last updated

Apr 13, 2015By 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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services TX LLCGroup PAC ID 7113330879, 122 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Fox Rehabilitation Services TX LLC

  • Physical Therapist
  • Allen, TX
  • NPI 1710582580
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1770979080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SHOREVIEW CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787322233",
            "telephone_number": "512-299-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SHOREVIEW CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787322233",
            "telephone_number": "512-299-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LAURA",
        "middle_name": "ELENA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1168830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janie E Black, PHD
• Jason Alexander Black, DDS
• Jose Black, PT, DPT
• Kacie Black
• Lashawn Black, M.A. CCC-SLP
• Lauren Black, MS, RD
• Mary E Black, MD
• Nicholette M Black, DO
• Patricia Black, LPC
• Blackburn Chiropractic PLLC

• Geriatric Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Geriatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.