Provider Demographics
NPI:1245328095
Name:DOWNES, LAUREN (PT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:DOWNES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:866-370-8206
Mailing Address - Fax:517-435-3670
Practice Address - Street 1:168 DENSLOW RD
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-3188
Practice Address - Country:US
Practice Address - Phone:413-526-9924
Practice Address - Fax:413-526-9961
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15065225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA043527497OtherGIC/UNICARE
MA28117OtherHEALTH NEW ENGLAND GROUP NO.
MAY67973OtherBC BS INDIVIDUAL NO
MA000000035264OtherBOSTON MEDICAL HEALTH NET GROUP NO.
MA972730OtherNETWORK HEALTH
MA000000035328OtherBOSTON MEDICAL HEALTH NET INDIVIDUAL NO
MA043527497OtherAETNA
MA043527497OtherUNITED HEALTH CARE
MA043527497OtherPIONEER
MA9715568Medicaid
MA043527497OtherCONSOLIDATED
MA043527497OtherCIGNA GROUP NO.
MA103355100OtherDEPARTMENT OF LABOR
MA10456584OtherCAQH
MA690675OtherTUFTS GROUP
MA043527OtherCONNECTICARE
MA043527497OtherGREATWEST
MA470338OtherTUFTS INDIVIDUAL NO.
MAY61264OtherBC BS GROUP NO
MA972730OtherNETWORK HEALTH
MA000000035328OtherBOSTON MEDICAL HEALTH NET INDIVIDUAL NO