Provider Demographics
NPI:1659573061
Name:LAPORTA, LAURA JEAN (PT, PHD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JEAN
Last Name:LAPORTA
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:L
Other - Last Name:KRUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8091 SHAFFER PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3718
Mailing Address - Country:US
Mailing Address - Phone:303-799-6336
Mailing Address - Fax:303-799-3524
Practice Address - Street 1:8091 SHAFFER PKWY
Practice Address - Street 2:#B
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3716
Practice Address - Country:US
Practice Address - Phone:303-799-6336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0008977225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO40094Medicare PIN