Lynette Lauterbach, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-01377 Issued in AZ

Practice address

1447 W Elliot Rd Ste 101
Gilbert, AZ 85233-5166

Phone

(480) 699-4845

NPI assigned

Oct 1, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Neurologic Rehabilitation

  • Physical Therapy Clinic/Center
  • Chandler, AZ
  • NPI 1922482017
  NPD (past)
• Carling Physical Therapy

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1396882999
  NPD (past)

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1780169144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 W ELLIOT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335166",
            "telephone_number": "480-699-4845",
            "fax_number": "480-699-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 W ELLIOT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335166",
            "telephone_number": "480-699-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTERBACH",
        "first_name": "LYNETTE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-01377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina C Latona Besthoff, SLPA
• Linda Lin Lau, MD
• Kristina Laugen, COTA/L
• Jacqueline Lauren Lauko, LPC
• Seren Lauritzen, ED.S.
• Holly Lavalley
• Ira Keith Lavender, D.C.
• Mark Lavigne, PHARMD
• Cori Erin Law, M.ED, BCBA, LBA
• Tara Ashlyn Law, APRN

• All providers in Gilbert, AZ
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.