Laurel Physiatry, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LAUREL PHYSIATRY, INC.

Practice address

269 S Mount Vernon Ave
Uniontown, PA 15401-4178

Phone

(724) 430-7434

NPI assigned

Mar 12, 2011

Organization subpart

No

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

Authorized official

Name

Randall David Borland, M.D.NPI 1366410151

Title

President

Phone

(724) 430-7434

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall David Borland, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Uniontown, PA
  • NPI 1366410151
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1831497072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S MOUNT VERNON AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014178",
            "telephone_number": "724-430-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S MOUNT VERNON AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014178",
            "telephone_number": "724-430-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL PHYSIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-12",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "BORLAND",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-430-7434",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Highlands School District
• Laurel House, Inc.
• Laurel Medical Imaging Assoc
• Laurel Pathology, PC
• Laurel Pediatrics PC
• Laurel Ridge Eyecare
• Laurel Ridge Surgical Associates, Inc.
• Jennifer Ann Lawry, MOT, OTR/L
• Kiara Brea Laws
• Nicole Layhue, BS

• Physical Medicine & Rehabilitation Physician in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.