Active NPI
Douglas Todd Laluzerne, PT
- Physical Therapist
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14031-24
- Practice address
- 3263 Eaton Rd
Green Bay, WI 54311 - Phone
- (920) 433-6700
- Fax
- (920) 433-6719
- NPI assigned
- Apr 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14031-24 | WI | Primary |
Addresses
Primary practice location
3263 Eaton Rd
Green Bay, WI 54311
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7226
Other practice location 1
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-7822
Other practice location 2
405 Commercial St
Seymour, WI 54165-8474
Phone (920) 833-2318
Other practice location 3
1630 Commanche Ave
Green Bay, WI 54313-5753
Phone (920) 430-4750
Other practice location 4
1800 Lawrence Dr
DE Pere, WI 54115-9108
Phone (920) 983-3220
Other practice location 5
1970 S Ridge Rd
Green Bay, WI 54304-4125
Phone (920) 430-4888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14031-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Physical Therapist | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients |
Locations
1800 Lawrence Dr
De Pere, WI 54115
Phone (920) 983-3220
555 Redbird Cir
De Pere, WI 54115
Phone (920) 338-6820
2305 San Luis Pl
Green Bay, WI 54304
Phone (920) 494-2817
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
1630 Commanche Ave
Green Bay, WI 54313
Phone (920) 430-4700
3263 Eaton Rd
Green Bay, WI 54311
Phone (920) 433-6000
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
405 Commercial St
Seymour, WI 54165
Phone (920) 833-2318
Interoperability endpoints
- dlaluzerne183269@direct.thedacare.org
Organizations & group practices 5
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.
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
dba Emplify Health Oconto Hospital
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
Physical Therapist
-
dba Bellin Health Infectious Disease Clinic
- Infectious Disease Physician
- Green Bay, WI
- NPI 1073063681
-
dba Bellin Health Suring
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1992978027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7226",
"fax_number": "920-445-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3263 EATON RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54311",
"telephone_number": "920-433-6700",
"fax_number": "920-433-6719"
}
],
"practiceLocations": [
{
"address_1": "744 S Webster Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543013505",
"country_code": "US",
"telephone_number": "920-433-7822",
"fax_number": "920-433-3651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Commercial St",
"address_purpose": "LOCATION",
"city": "Seymour",
"state": "WI",
"postal_code": "541658474",
"country_code": "US",
"telephone_number": "920-833-2318",
"fax_number": "920-833-6883",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1630 Commanche Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543135753",
"country_code": "US",
"telephone_number": "920-430-4750",
"fax_number": "920-430-4746",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Lawrence Dr",
"address_purpose": "LOCATION",
"city": "DE Pere",
"state": "WI",
"postal_code": "541159108",
"country_code": "US",
"telephone_number": "920-983-3220",
"fax_number": "920-983-3226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1970 S Ridge Rd",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543044125",
"country_code": "US",
"telephone_number": "920-430-4888",
"fax_number": "920-430-4889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LALUZERNE",
"first_name": "DOUGLAS",
"middle_name": "TODD",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-09",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14031-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.