Individual provider Active NPI

Lara Abramson, LPTA

  • Physical Therapy Assistant
  • Bayside, WI
National Provider Identifier
1861942559
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1755-19 Issued in WI
Practice address
8911 N Port Washington Rd
Bayside, WI 53217-1634
Phone
(414) 351-5794
Fax
(414) 351-2770
NPI assigned
Oct 6, 2016
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1755-19 WI Primary

Addresses

Primary practice location

8911 N Port Washington Rd
Bayside, WI 53217-1634

Mailing address

4924 N Marlborough Dr
Whitefish Bay, WI 53217-5961
Phone (216) 470-0644

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
1755-19WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sport Clinic of Greater Milwaukee Past Accepting new patients
Sport Clinic Physical Therapy Inc PastSince Feb 1, 2005 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1861942559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 N MARLBOROUGH DR",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175961",
            "telephone_number": "216-470-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 N PORT WASHINGTON RD",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "532171634",
            "telephone_number": "414-351-5794",
            "fax_number": "414-351-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMSON",
        "first_name": "LARA",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1755-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.