Laura Carpenter, PTA, LMT is a 
Physical Therapy Assistant based in Bradley, Illinois. Laura Carpenter is licensed to practice in Illinois (license number 160.007954) and her current practice location is 
517 E North St, Bradley, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(815) 802-7503.
NPI number for Laura Carpenter is 1619482593 and her current mailing address is 517 E North St, Bradley, Illinois. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619482593.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Laura Carpenter | 
|---|
| Gender | Female | 
|---|
| Speciality | Physical Therapy Assistant | 
|---|
| Location | 517 E North St, Bradley, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1619482593
- Provider Enumeration Date: 12/13/2017
- Last Update Date: 03/17/2018
 
		 
		 
Medical Identifiers
		Medical identifiers for Laura Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1619482593 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 225700000X | Massage Therapist | 227008895 (Illinois) | Secondary | 
| 225200000X | Physical Therapy Assistant | 160.007954 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laura Carpenter is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Laura Carpenter, PTA, LMT 517 E North St,
 Bradley, IL 60915-1258
 Ph: (815) 802-7503
 | Laura Carpenter, PTA, LMT 517 E North St,
 Bradley, IL 60915-1258
 Ph: (815) 802-7503
 | 
		
		 
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