Active NPI
Jan Powers Laguardia, PT
- Physical Therapist
- Oriental, NC
National Provider Identifier
1891867792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8706
- Practice address
- 1006 Broad Street
Oriental, NC 28571 - Phone
- (252) 249-1051
- Fax
- (252) 249-0112
- NPI assigned
- Nov 15, 2006
- 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 Therapist | 225100000X | 8706 | NC | Primary |
Addresses
Primary practice location
1006 Broad Street
Oriental, NC 28571
Mailing address
PO Box 894
Oriental, NC 28571-0894
Phone (252) 249-1051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078JJ | Other | NC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1006 Broad St
Oriental, NC 28571-9784
Phone (252) 249-1051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8706 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Health & Fitness | Current | Accepting new patients |
Locations
1006 Broad St
Oriental, NC 28571
Phone (252) 249-1051
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Oriental, NC
- NPI 1093916538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1891867792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 894",
"city": "ORIENTAL",
"state": "NC",
"postal_code": "285710894",
"telephone_number": "252-249-1051",
"fax_number": "252-249-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 BROAD STREET",
"city": "ORIENTAL",
"state": "NC",
"postal_code": "28571",
"telephone_number": "252-249-1051",
"fax_number": "252-249-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGUARDIA",
"first_name": "JAN",
"middle_name": "POWERS",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "078JJ",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oriental, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.