Lara McDonald, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2508 Issued in MS

Practice address

711 Hall St
Wiggins, MS 39577-2105

Phone

(601) 928-5511

NPI assigned

Jun 16, 2010

Last updated

Jun 16, 2010By the provider in NPPES

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

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1780905471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 HALL ST",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HALL ST",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772105",
            "telephone_number": "601-928-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "LARA",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA2508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory D Loose, OD
• Taylor Nicole Lusk, OTR/L
• Timothy Joseph Lutkins, P.T.
• Magnolia Smiles of Wiggins PLLC (Magnolia Smiles Family Dentistry PLLC)
• Magnolia Urgent Care Inc
• Michelle Lorraine McQueen, FNP
• Memorial Hospital at Gulfport (Memorial Stone County Medical Center)
• Memorial Hospital at Gulfport (Memorial Hospital at Stone County)
• Tina Miles
• Mississippi State Department of Health

• Physical Therapy Assistant in Wiggins, MS
• Providers in Wiggins, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.