Active NPI
Lara Abramson, LPTA
- Physical Therapy Assistant
- Bayside, WI
National Provider Identifier
1861942559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1755-19
- 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, 2016
- 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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1755-19 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sport Clinic of Greater Milwaukee | Past | Accepting new patients | |
| Sport Clinic Physical Therapy Inc | Past | 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.
-
- Physical Therapist
- Wauwatosa, WI
- NPI 1275628208
-
- Physical Therapist
- Bayside, WI
- NPI 1912918475
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.