Laurel Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAUREL MEDICAL SUPPLIES, INC.

Practice address

405 S West St
Ebensburg, PA 15931-1800

Phone

(814) 472-5591

Fax

(814) 472-7555

NPI assigned

Nov 18, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John J Letizia, ATP

Title

President

Phone

(814) 472-5591

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Laurel Medical Supplies, Inc.

  • Prosthetic/Orthotic Supplier
  • Johnstown, PA
  • NPI 1144459181

  3072630698

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Laurel Medical Supplies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Laurel Medical Supplies, Inc.

  • Prosthetic/Orthotic Supplier
  • Johnstown, PA
  • NPI 1144459181
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Laurel Medical Supplies, Inc.

  • Prosthetic/Orthotic Supplier
  • Duncansville, PA
  • NPI 1104081496
  NPPES parent name
• Laurel Medical Supplies, Inc.

  • Prosthetic/Orthotic Supplier
  • Johnstown, PA
  • NPI 1144459181
  NPPES parent name

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1891777348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "address_2": "405 S. WEST ST.",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159310004",
            "telephone_number": "814-472-5591",
            "fax_number": "814-472-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S WEST ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311800",
            "telephone_number": "814-472-5591",
            "fax_number": "814-472-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "LETIZIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-472-5591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010984030002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS NUMBER",
            "identifier": "281001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Kutruff, OT
• Kathleen Landy, PT
• Jill Lane, RN
• Lori Ann Lansberry, OT
• Laurel Crest DME
• William George Leary Jr., RN
• Robert Raymond Leichliter, D.C.
• Jennifer Lepore, MSW
• Barbara A Lewis
• Catherine Jean Lewis, MS BSL

• Durable Medical Equipment & Medical Supplies in Ebensburg, PA
• Providers in Ebensburg, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.