Laurie Kay Neal, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27169 Issued in FL

Practice address

150 Southpark Blvd
Suite 201
Saint Augustine, FL 32086-5190

Phone

(904) 824-7787

Fax

(904) 429-0318

NPI assigned

Mar 9, 2012

Sex

Female

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)

Not 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 and National Provider Directory roles.

• Performance Physical Therapy Inc

  • Orthopedic Physical Therapist
  • St Augustine, FL
  • NPI 1871694919
  NPD (past)

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1871868885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SOUTHPARK BLVD",
            "address_2": "SUITE 201",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865190",
            "telephone_number": "904-824-7787",
            "fax_number": "904-429-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SOUTHPARK BLVD",
            "address_2": "SUITE 201",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865190",
            "telephone_number": "904-824-7787",
            "fax_number": "904-429-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "LAURIE",
        "middle_name": "KAY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prianka Natta
• Alejandro Navarro, PA-C
• Julie Navarro, RN
• Nayar Health Care St Augustine LLC
• Fritz Ndoko
• Mary Boyd Neal, PH.D., LMFT
• Monica Neal
• Denise J Nealey, MS
• Laila Benzakour Needham, MD
• Suhas P Neerukonda, MD

• Physical Therapist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.