Active NPI
Lauren Pickering, PT, DPT
- Physical Therapist
- London, AR
National Provider Identifier
1902363369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4569
- Practice address
- 513 County Road 2750
London, AR 72847-8302 - Phone
- (479) 979-7690
- NPI assigned
- Feb 21, 2019
- 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 | 4569 | AR | Primary |
Addresses
Primary practice location
513 County Road 2750
London, AR 72847-8302
Mailing address
115 N Fulton St
Clarksville, AR 72830-3020
Phone (479) 979-7690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4569 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1902363369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N FULTON ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728303020",
"telephone_number": "479-979-7690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 COUNTY ROAD 2750",
"city": "LONDON",
"state": "AR",
"postal_code": "728478302",
"telephone_number": "479-979-7690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERING",
"first_name": "LAUREN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "4569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.