Andrea Jill Lauchu

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010011 Issued in MI

Practice address

3306 Meijer Dr
Toledo, OH 43617-3103

Phone

(419) 824-3434

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Jill Glaspie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1942226063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 LAKEVIEW CT",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769439",
            "telephone_number": "734-972-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 MEIJER DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436173103",
            "telephone_number": "419-824-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUCHU",
        "first_name": "ANDREA",
        "middle_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019547",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GLASPIE",
            "middle_name": "JILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Ryanna Nicole Lauriel, LSW
• Mindy M Lause
• Daniel Lautenbach, MD

• Physical Therapist in Toledo, OH
• Providers in Toledo, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.