MEDICARE: LAURA FOGLE P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist	2305001920	VA

General Provider Information

NPI Number	:	1003178583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA FOGLE P.T.

Provider Business Mailing Address
First Line	:	174 HICKORY LN
Second Line	:
City	:	FORT VALLEY
State	:	VA
Zip	:	22652-3208
Country	:	US
Telephone Number	:	540-933-6455
Fax Number	:

Provider Business Practice Location Address
First Line	:	174 HICKORY LN
Second Line	:
City	:	FORT VALLEY
State	:	VA
Zip	:	22652-3208
Country	:	US
Telephone Number	:	540-933-6455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2012
Last Update Date	:	06/11/2012

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1538332846 — KRISTINE MARIE LAURIA CPM
Practice Location Address:

8247 FORT VALLEY RD
FORT VALLEY, VA
22652-2013

Practice Phone: 540-933-6934
Practice Fax:

1043463060 — PLUMTREE LLC
Practice Location Address:

50 PLUM TREE LN
FORT VALLEY, VA
22652-3219

Practice Phone: 540-933-6006
Practice Fax:

1457696494 — MRS. MELISSA VANN-COMBS FNP
Practice Location Address:

2678 BOLIVER RD
FORT VALLEY, VA
22652-2424

Practice Phone: 540-933-6021
Practice Fax:

1447369301 — DR. KHANG T. NGUYEN D.M.D.
Practice Location Address:

3208 E LOS ANGELES AVE , SUITE 33
SIMI VALLEY, CA
93065-6107

Practice Phone: 805-584-2553
Practice Fax: 805-584-1410

1194851626 — NANCY LEE REDGATE PT
Practice Location Address:

1690 BLACKWALL DR
SIMI VALLEY, CA
93063-3208

Practice Phone: 805-469-4561
Practice Fax:

Directions to “ LAURA FOGLE P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.