Active NPI
Katherine Lynn Lauder, MS, PT
- Pediatric Physical Therapist
- Brockton, MA
National Provider Identifier
1942533757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 18790
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.C
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18790 | MA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Every Day LLC | Pediatrics | Current | 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.
-
- Prosthetic/Orthotic Supplier
- Suffield, CT
- NPI 1598958720
-
- Prosthetic/Orthotic Supplier
- Weatogue, CT
- NPI 1306267034
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.