Laurie G Mozian, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003130 Issued in CT

Practice address

45 Meriden Ave
Southington, CT 06489-3214

Phone

(860) 378-1234

Fax

(860) 378-1160

NPI assigned

Mar 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Hartford Healthcare Senior Services, Inc.

  dba Southington Care Center

  • Skilled Nursing Facility
  • Southington, CT
  • NPI 1265431647
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841314051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PAUL TER",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064894127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MERIDEN AVE",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893214",
            "telephone_number": "860-378-1234",
            "fax_number": "860-378-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZIAN",
        "first_name": "LAURIE",
        "middle_name": "G",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11243725",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE HEALTH INS.",
            "identifier": "080003130CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corinne Scarlett Mongillo, FNP
• Monica Marcello Nutrition
• Charlene Moorer, NCC, LPC
• Gisele Constanza Morini
• Leah Moskowitz, LCSW
• Mikayla Marie Mueller, RN
• Amy Lynne Mulrooney, LPC
• Kathryn Murray
• Steven Fredrick Nackley, OTR/L
• Sai Charan Nagella

• Physical Therapist in Southington, CT
• Providers in Southington, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.