Individual provider Active NPI

Jan Powers Laguardia, PT

  • Physical Therapist
  • Oriental, NC
National Provider Identifier
1891867792
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8706 Issued in NC
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

Updated by the provider on Jun 29, 2010

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 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

IdentifierTypeStateIssuer
078JJOtherNCBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000275 NC Practitioner - Physical Therapist in Private Practice 9830365436 Reassigns benefits to 1 organization

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
Village Health and FitnessGroup PAC ID 3678749272, 5 clinicians

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

LicenseStateTypeSpecialty
8706NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Village Health & Fitness CurrentSince Jul 1, 2003 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.

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.

Verify at the official NPI Registry.