Individual provider Active NPI

Michelle Laquerre, MSPT

  • Physical Therapist
  • Flanders, NJ
National Provider Identifier
1801981469
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00954200 Issued in NJ
Practice address
244 Route 206
Suite 3
Flanders, NJ 07836-9199
Phone
(973) 598-3077
Fax
(973) 598-3097
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00954200 NJ Primary

Addresses

Primary practice location

244 Route 206
Suite 3
Flanders, NJ 07836-9199

Mailing address

244 Route 206
Suite 3
Flanders, NJ 07836-9199
Phone (973) 598-3077

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1801981469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 ROUTE 206",
            "address_2": "SUITE 3",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369199",
            "telephone_number": "973-598-3077",
            "fax_number": "973-598-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 ROUTE 206",
            "address_2": "SUITE 3",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369199",
            "telephone_number": "973-598-3077",
            "fax_number": "973-598-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAQUERRE",
        "first_name": "MICHELLE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00954200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flanders, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.