Individual provider Active NPI

Lauren Arnold, PTA

  • Physical Therapy Assistant
  • Crystal River, FL
National Provider Identifier
1063545010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA1068 Issued in FL
Practice address
394 N Suncoast Blvd
Suite 40
Crystal River, FL 34429-5466
Phone
(352) 795-6225
Fax
(352) 795-6065
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA1068FLMDPhysical Therapy Assistant

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
TLC Rehab, LLC Past Accepting new patients

Networks

  • Freedom Health HMO Network

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA1068 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

394 N Suncoast Blvd
Suite 40
Crystal River, FL 34429-5466

Mailing address

394 N Suncoast Blvd
Suite 40
Crystal River, FL 34429-5466
Phone (352) 795-6225

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063545010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 N SUNCOAST BLVD",
            "address_2": "SUITE 40",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295466",
            "telephone_number": "352-795-6225",
            "fax_number": "352-795-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 N SUNCOAST BLVD",
            "address_2": "SUITE 40",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295466",
            "telephone_number": "352-795-6225",
            "fax_number": "352-795-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "LAUREN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA1068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.