Active NPI
Laura Flynn, PT
- Physical Therapist
- Lindenhurst, NY
National Provider Identifier
1811248446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015630-1
- Practice address
- 2 Harding Ave
Lindenhurst, NY 11757-5902 - Phone
- (631) 867-3350
- NPI assigned
- Sep 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015630-1 | NY | Primary |
Addresses
Primary practice location
2 Harding Ave
Lindenhurst, NY 11757-5902
Mailing address
40 Ravenwood Dr
Kings Park, NY 11754-2928
Phone (631) 724-2731
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015630-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348272000000",
"number": "1811248446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 RAVENWOOD DR",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117542928",
"telephone_number": "631-724-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HARDING AVE",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117575902",
"telephone_number": "631-867-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-22",
"last_updated": "2012-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015630-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.