Individual provider Active NPI

Laurianne Santos Llamanzares

  • Physical Therapist
  • Knoxville, IL
National Provider Identifier
1831935832
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070026832 Issued in IL
Practice address
800 N Market St
Knoxville, IL 61448-1096
Phone
(309) 289-2338
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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 070026832 IL Primary

Addresses

Primary practice location

800 N Market St
Knoxville, IL 61448-1096

Mailing address

383 E Ferris St Apt 33
Galesburg, IL 61401-4856
Phone (917) 361-9905

Other practice location 1

1250 W Carl Sandburg Dr
Galesburg, IL 61401-1329
Phone (309) 344-5400

Other practice location 2

280 E Losey St
Galesburg, IL 61401-2819
Phone (309) 343-2166

Other practice location 3

1145 Frank St
Galesburg, IL 61401-2421
Phone (309) 342-2103

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

LicenseStateTypeSpecialty
070026832ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1831935832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 E FERRIS ST APT 33",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614014856",
            "telephone_number": "917-361-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MARKET ST",
            "city": "KNOXVILLE",
            "state": "IL",
            "postal_code": "614481096",
            "telephone_number": "309-289-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 W Carl Sandburg Dr",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "614011329",
            "country_code": "US",
            "telephone_number": "309-344-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 E Losey St",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "614012819",
            "country_code": "US",
            "telephone_number": "309-343-2166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1145 Frank St",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "614012421",
            "country_code": "US",
            "telephone_number": "309-342-2103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLAMANZARES",
        "first_name": "LAURIANNE",
        "middle_name": "SANTOS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070026832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.