Individual provider Active NPI

Hayley Lala, PT, DPT

  • Physical Therapist
  • Severna Park, MD
National Provider Identifier
1104545029
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
T16319 Issued in MD
Practice address
645 Baltimore Annapolis Blvd Ste 111
Severna Park, MD 21146-3956
Phone
(410) 544-2500
Fax
(410) 384-9703
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X T16319 MD Primary

Addresses

Primary practice location

645 Baltimore Annapolis Blvd Ste 111
Severna Park, MD 21146-3956

Mailing address

645 Baltimore Annapolis Blvd Ste 111
Severna Park, MD 21146-3956
Phone (410) 544-2500

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

State licenses

LicenseStateTypeSpecialty
29323MDMDSocial Worker
T16319MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1104545029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BALTIMORE ANNAPOLIS BLVD STE 111",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463956",
            "telephone_number": "410-544-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 BALTIMORE ANNAPOLIS BLVD STE 111",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463956",
            "telephone_number": "410-544-2500",
            "fax_number": "410-384-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALA",
        "first_name": "HAYLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "T16319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.