Individual provider Active NPI

Lorraine Hately, PT

  • Physical Therapist
  • Oviedo, FL
National Provider Identifier
1053521443
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5971 Issued in FL
Practice address
1525 Haven Dr
Oviedo, FL 32765-7566
Phone
(407) 706-1270
Fax
(407) 706-1271
NPI assigned
May 23, 2007
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5971 FL Primary

Addresses

Primary practice location

1525 Haven Dr
Oviedo, FL 32765-7566

Mailing address

2960 Cypress Chase LN
Oviedo, FL 32765-9335
Phone (407) 761-1436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1053521443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 CYPRESS CHASE LN",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659335",
            "telephone_number": "407-761-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 HAVEN DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657566",
            "telephone_number": "407-706-1270",
            "fax_number": "407-706-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATELY",
        "first_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT5971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.