Laura Brennan O'Lannerghty, PT, DPT
Physical Therapist in Leesburg, GA. Individual provider (NPI-1).
NPI number1093239477
StatusActive
Last updated in NPPESFeb 9, 2024
Details
- NPI
- 1093239477
- Entity type
- Individual (NPI-1)
- Name
- Laura Brennan O'Lannerghty
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2017
- Certification date
- Feb 9, 2024
- Last updated
- Feb 9, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 293274 | CA | Yes |
Practice location
1366 Us Highway 82 WLeesburg, GA 31763-5810
Phone 229-883-4009 · Fax 229-883-4320
Mailing address
9070 W Cheyenne Ave Ste 100Las Vegas, NV 89129-8935
Phone 615-498-2288
Other practice locations
130 E Broad St
Camilla, GA 31730-1809
Camilla, GA 31730-1809
Phone 229-336-1115 · Fax 229-336-1151
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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