Theresa Kathleen Lau, DPT, ATC, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01759900 Issued in NJ

Practice address

461 Main St
Chatham, NJ 07928-2102

Phone

(973) 635-1000

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jag-One Physical Therapy, LLC

  • Occupational Therapist
  • Chatham, NJ
  • NPI 1831660323
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1982115416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ELMWOOD RD",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442509",
            "telephone_number": "862-213-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282102",
            "telephone_number": "973-635-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "THERESA",
        "middle_name": "KATHLEEN",
        "credential": "DPT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01759900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Elizabeth Larkin, LCSW
• Laser & Skin Therapeutics PC
• Lashed Queens Wigs
• Ana Lynn Latona, COTA
• Lisa Lattarulo, LPC
• Susan Lee, M.D.
• Beverly P Levine, MSW
• Michele Robyn Levine, R.PH.
• Camri Lewis
• Neal E Leynor, PH.D.

• Physical Therapist in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.