Jeremie Franc Laraque-Two Elk, PT, DPT, MPH

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61140942 Issued in WA

Practice address

9040A Jackson Ave
Tacoma, WA 98431-3060

Phone

(253) 968-1110

NPI assigned

Mar 22, 2021

Last updated

Nov 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Sagebrush Therapy Partners

  • Geriatric Physical Therapist
  • Lacey, WA
  • NPI 1316866619
  NPD (past) Authorized official
• King County Public Hospital District No 2

  dba Booth Gardner Parkinsons Care Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1861078750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6434 JEFFREY CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985136531",
            "telephone_number": "720-422-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040A JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984313060",
            "telephone_number": "253-968-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARAQUE-TWO ELK",
        "first_name": "JEREMIE",
        "middle_name": "FRANC",
        "credential": "PT, DPT, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61140942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Lapp
• Nekaiya Lapsley, CA
• Melquiades Lara, LMSW
• Sophia Rachelle Lara, L.M.P
• Paolo Larano, PSY D.
• Jessica M Larche
• Charles Bayard Larcom IV, MD
• Janet Large-Moore, CHT
• Jehna Larivee, RN
• Landon Larkey

• Physical Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.