Active NPI
Lance Labno, P.T.
- Orthopedic Physical Therapist
- Wilmette, IL
National Provider Identifier
1962678052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070015607
- Practice address
- 350 Linden Ave
Wilmette, IL 60091-2843 - Phone
- (847) 372-3816
- NPI assigned
- May 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 070015607 | IL | Primary |
| Massage Therapist | 225700000X | 227001920 | IL | |
| Sports Physical Therapist | 2251S0007X | 070015607 | IL | |
| Geriatric Physical Therapist | 2251G0304X | 070015607 | IL | |
| Ergonomics Physical Therapist | 2251E1200X | 070015607 | IL |
Addresses
Primary practice location
350 Linden Ave
Wilmette, IL 60091-2843
Mailing address
2441 Prospect Ave
Evanston, IL 60201-1839
Phone (847) 372-3816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Northwestern University Feinberg Medical School, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2441 Prospect Ave
Evanston, IL 60201-1839
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070015607 | IL | MD | Geriatric Physical Therapist |
| 227001920 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1962678052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 PROSPECT AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011839",
"telephone_number": "847-372-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 LINDEN AVE",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912843",
"telephone_number": "847-372-3816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABNO",
"first_name": "LANCE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070015607",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227001920",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "IL",
"license": "070015607",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "IL",
"license": "070015607",
"primary": false
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "IL",
"license": "070015607",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.