Lauren Hodge, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001243 Issued in CT

Practice address

12 Main St Ste 7
Ellington, CT 06029-3361

Phone

(860) 872-7500

NPI assigned

Oct 15, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Rehabilitation Services, LLC

  • Physical Therapist
  • Vernon, CT
  • NPI 1104867951
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1013559657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 NEW STATE RD APT 7",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060427941",
            "telephone_number": "860-638-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAIN ST STE 7",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293361",
            "telephone_number": "860-872-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "LAUREN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "001243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fundacion Sos Mujer Extraordinaria Corp
• Neil Gaer, LADC-1
• Michelle Gaston
• Regan Hillebrecht, COTA/L
• John Hintze, PH.D.
• Elsa Elizabeth Hoffman
• Homecare by All Heart LLC
• Horizon Counseling Services LLC
• Meghan Hunt, MS, LAT, ATC
• Robert Huyler, DPT

• Athletic Trainer in Ellington, CT
• Providers in Ellington, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.