Individual provider Active NPI

Katherine Lynn Lauder, MS, PT

  • Pediatric Physical Therapist
  • Brockton, MA
National Provider Identifier
1942533757
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
18790 Issued in MA
Practice address
37 Belmont St
Brockton, MA 02301-5299
Phone
(978) 453-6800
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 18790 MA Primary

Addresses

Primary practice location

37 Belmont St
Brockton, MA 02301-5299

Mailing address

530 Pleasant St
Leicester, MA 01524-1239
Phone (508) 523-6808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817000204 CT Practitioner - Physical Therapist in Private Practice 2466747381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Every Day L.L.CGroup PAC ID 4284839176, 6 clinicians

Practice addresses (Care Compare)

138 Hopmeadow St
Simsbury, CT 06089-9793
Phone (860) 413-2073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
18790MAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Every Day LLC Pediatrics CurrentSince Apr 27, 2016 Accepting new patients
Live Every Day L.L.C Past Accepting new patients
Live Every Day Past Accepting new patients

Locations

68 Bridge St
Unit 111
Suffield, CT 06078
Phone (860) 254-5190

138 Hopmeadow St
Weatogue, CT 06089
Phone (860) 413-2073

Organizations & group practices 3

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1942533757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PLEASANT ST",
            "city": "LEICESTER",
            "state": "MA",
            "postal_code": "015241239",
            "telephone_number": "508-523-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015299",
            "telephone_number": "978-453-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDER",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "18790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.