Active NPI
Laura Rodebaugh, PT
- Physical Therapist
- Sherwood, AR
National Provider Identifier
1861798266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2349
- Practice address
- 619 Bay View CT
Sherwood, AR 72120-3730 - Phone
- (501) 837-5868
- NPI assigned
- Feb 2, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 2349 | AR | Primary |
Addresses
Primary practice location
619 Bay View CT
Sherwood, AR 72120-3730
Mailing address
619 Bay View CT
Sherwood, AR 72120-3730
Phone (501) 837-5868
Other names 1
- Laura Branch
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2349 | AR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1861798266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 BAY VIEW CT",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721203730",
"telephone_number": "501-837-5868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 BAY VIEW CT",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721203730",
"telephone_number": "501-837-5868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODEBAUGH",
"first_name": "LAURA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "2349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "BRANCH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.