Individual provider Active NPI

William Lee Hataway, PT, DPT

  • Orthopedic Physical Therapist
  • Winter Park, FL
National Provider Identifier
1073336673
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT41646 Issued in FL
Practice address
351 N Orlando Ave
Winter Park, FL 32789-2911
Phone
(407) 303-7600
NPI assigned
Nov 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT41646 FL Primary

Addresses

Primary practice location

351 N Orlando Ave
Winter Park, FL 32789-2911

Mailing address

454 Rinehart Rd Ste 1001
Lake Mary, FL 32746-5251
Phone (407) 206-4590

Other practice location 1

454 Rinehart Rd Ste 1001
Lake Mary, FL 32746-5251
Phone (407) 206-4590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818004113 FL Practitioner - Physical Therapist in Private Practice 5294234027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Univ of Central Florida, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41646FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 11, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 11, 2025 Accepting new patients
Adventist Health System-Sunbelt, Inc PastSince Nov 10, 2024 Accepting new patients

Locations

454 Rinehart Rd
Ste 1001
Lake Mary, FL 32746
Phone (407) 206-4590

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1073336673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 RINEHART RD STE 1001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465251",
            "telephone_number": "407-206-4590",
            "fax_number": "407-206-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N ORLANDO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892911",
            "telephone_number": "407-303-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "454 Rinehart Rd Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327465251",
            "country_code": "US",
            "telephone_number": "407-206-4590",
            "fax_number": "407-206-4591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATAWAY",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT41646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.