Individual provider Active NPI

Laura Eshowsky, PT

  • Physical Therapist
  • Granger, IN
National Provider Identifier
1871253294
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05006481A Issued in IN
Practice address
15851 S Lakeshore Dr
Granger, IN 46530-7851
Phone
(574) 276-3150
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05006481A IN Primary

Addresses

Primary practice location

15851 S Lakeshore Dr
Granger, IN 46530-7851

Mailing address

15851 S Lakeshore Dr
Granger, IN 46530-7851
Phone (574) 276-3150

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kate@senioropservices.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220219000139 IN Practitioner - Physical Therapist in Private Practice 0446644314 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05006481AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Outpatient Services Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1871253294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15851 S LAKESHORE DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307851",
            "telephone_number": "574-276-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15851 S LAKESHORE DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307851",
            "telephone_number": "574-276-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHOWSKY",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05006481A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kate@senioropservices.com",
            "affiliation": "N",
            "endpointDescription": "company url",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "15851 S Lakeshore Dr",
            "city": "Granger",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465307851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.