Individual provider Active NPI

Laura Lee Higgins, P.T.

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1962556910
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007599 Issued in GA
Practice address
575 Dekalb Industrial Way
Suite 103
Decatur, GA 30030-1756
Phone
(404) 296-8511
Fax
(404) 296-8514
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT007599 GA Primary

Addresses

Primary practice location

575 Dekalb Industrial Way
Suite 103
Decatur, GA 30030-1756

Mailing address

575 Dekalb Industrial Way
Suite 103
Decatur, GA 30030-1756
Phone (404) 296-8511

Other names 1

  • Laura Lee Bilodeau Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070220000718 GA Practitioner - Physical Therapist in Private Practice 8123120243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

141 Sams St
Suite a
Decatur, GA 30030-4101
Phone (404) 296-8511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT007599GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Hand and Physical Therapy Specialists Limited Partnership Physical Therapist CurrentSince Jan 22, 2007 Accepting new patients
Decatur Hand Therapy Specialists Limited Partnership Past Accepting new patients

Locations

141 Sams St
Ste A
Decatur, GA 30030
Phone (404) 296-8511

575 DeKalb Industrial Way
Ste 103
Decatur, GA 30030
Phone (404) 296-8511

Organizations & group practices 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962556910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 DEKALB INDUSTRIAL WAY",
            "address_2": "SUITE 103",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301756",
            "telephone_number": "404-296-8511",
            "fax_number": "404-296-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 DEKALB INDUSTRIAL WAY",
            "address_2": "SUITE 103",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301756",
            "telephone_number": "404-296-8511",
            "fax_number": "404-296-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BILODEAU",
            "middle_name": "LEE",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.