Laura Fellows, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01541400 Issued in NJ

Practice address

180 Tices LN Ste 101
East Brunswick, NJ 08816-1345

Phone

(732) 418-7033

Fax

(732) 418-7011

NPI assigned

Feb 28, 2014

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

Other names 1

• Laura Freneaux Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ipta Clinical, LLC

  • Physical Therapy Clinic/Center
  • Medford, NJ
  • NPI 1760764484

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1801211768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 TICES LN STE 101",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161345",
            "telephone_number": "732-418-7033",
            "fax_number": "732-418-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TICES LN STE 101",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161345",
            "telephone_number": "732-418-7033",
            "fax_number": "732-418-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "LAURA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01541400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "FRENEAUX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephani Faust, LCSW
• Feel Better DO Better Staffing & Consulting - Isidoraizzy Lewis
• Wendy B Feins, APN
• Ira Feldman
• Lucecita Feliciano Rojas
• Lisa Fennelly
• Genevieve Fernandes, B.D.S., D.D.S.
• Alicia Fernandez, P.A.
• Araceli Fernandez, LCSW
• Joanne Gamboa Fernandez

• Physical Therapist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.