Kevin Lee Laser, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QAO1113200 Issued in NJ

Practice address

700 S White Horse Pike
Suite D
Somerdale, NJ 08083-1253

Phone

(856) 504-6930

Fax

(856) 504-6934

NPI assigned

Apr 27, 2006

Last updated

Oct 2, 2014By the provider in NPPES

Sex

Male

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Track Physical Therapy, LLCGroup PAC ID 1557544137, 3 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.

• Fast Track Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Somerdale, NJ
  • NPI 1992009203
  Medicare reassignment Care Compare group NPD Authorized official
• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144

  Orthopedic

  NPD (past)
• Rushmore Physical Therapy, P.a.

  • Specialist
  • Delran, NJ
  • NPI 1205848843
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1780641340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S WHITE HORSE PIKE",
            "address_2": "SUITE D",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831253",
            "telephone_number": "856-504-6930",
            "fax_number": "856-504-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S WHITE HORSE PIKE",
            "address_2": "SUITE D",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831253",
            "telephone_number": "856-504-6930",
            "fax_number": "856-504-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASER",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QAO1113200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jay Kirstein, D.C.
• Christine Klenk, ATC, CSCS
• Shawn Thomas Klenk, ATC
• Braheim Knight, RPH (PHARMACIST)
• Viktoria Kristbergs, LCADC
• Leap Years Coaching LLC
• Leap Years Coaching LLC
• Shelly Leftwich
• Francisca Liangco, PT
• Thomas Lopez, LCADC

• Orthopedic Physical Therapist in Somerdale, NJ
• Providers in Somerdale, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.