Individual provider Active NPI

Lauren Fiust-Klink, PT, DPT

  • Neurology Physical Therapist
  • East Aurora, NY
National Provider Identifier
1780221655
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
043657 Issued in NY
Practice address
PO Box 394
East Aurora, NY 14052-0394
Phone
(716) 222-9139
NPI assigned
Dec 10, 2019
Reactivated
May 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043657 NY
Neurology Physical Therapist 2251N0400X 043657 NY Primary

Addresses

Primary practice location

PO Box 394
East Aurora, NY 14052-0394

Mailing address

PO Box 394
East Aurora, NY 14052-0394
Phone (716) 222-9139

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
043657NYMDNeurology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1780221655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140520394",
            "telephone_number": "716-222-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140520394",
            "telephone_number": "716-222-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIUST-KLINK",
        "first_name": "LAUREN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "deactivation_date": "2024-04-14",
        "reactivation_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043657",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "043657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.