Active NPI
Danielle Nichlole Lorenz, PT, DPT
- Physical Therapist
- Stockbridge, GA
National Provider Identifier
1053608323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010348
- Practice address
- 1498 Hudson Bridge Rd
Ste. B-5
Stockbridge, GA 30281-5018 - Phone
- (678) 289-0525
- NPI assigned
- Jul 7, 2011
- Last updated
- Jul 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010348 | GA | Primary |
Addresses
Primary practice location
1498 Hudson Bridge Rd
Ste. B-5
Stockbridge, GA 30281-5018
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1053608323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1498 HUDSON BRIDGE RD",
"address_2": "STE. B-5",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815018",
"telephone_number": "678-289-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENZ",
"first_name": "DANIELLE",
"middle_name": "NICHLOLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.