Individual provider Active NPI

Lauren Elizabeth Sotelo, DO

  • Physical Therapist
  • Hinesville, GA
National Provider Identifier
1114754454
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12946 Issued in SC
Practice address
863 W Oglethorpe Hwy
Hinesville, GA 31313-4465
Phone
(912) 368-0534
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X CP042593T GA
Physical Therapist 225100000X 12946 SC Primary

Addresses

Primary practice location

863 W Oglethorpe Hwy
Hinesville, GA 31313-4465

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-3898

Other practice location 1

106 River Frst
Castroville, TX 78009-2716
Phone (830) 931-1649

Other practice location 2

1510 Ribaut Rd
Port Royal, SC 29935-1403
Phone (843) 524-3241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250411000084 GA Practitioner - Physical Therapist in Private Practice 4082138037 Reassigns benefits to 1 organization
I20251001000669 SC Practitioner - Physical Therapist in Private Practice 4082138037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Physical Therapy LLCGroup PAC ID 2769915347, 25 clinicians

Practice addresses (Care Compare)

1510 Ribaut Rd
Port Royal, SC 29935-1403
Phone (843) 524-3241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
CP042593TGAMDPhysical Therapist
12946SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Ga, LLC Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Novant Health Physical Therapy LLC Physical Therapist CurrentSince Jul 11, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

863 W Oglethorpe Hwy
Ste 210
Hinesville, GA 31313
Phone (888) 578-5231

64 Bluffton Rd
Bluffton, SC 29910
Phone (843) 681-2376

1510 Ribaut Rd
Port Royal, SC 29935
Phone (843) 524-3241

Organizations & group practices 4

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": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1114754454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-702-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 W OGLETHORPE HWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134465",
            "telephone_number": "912-368-0534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 River Frst",
            "address_purpose": "LOCATION",
            "city": "Castroville",
            "state": "TX",
            "postal_code": "780092716",
            "country_code": "US",
            "telephone_number": "830-931-1649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1510 Ribaut Rd",
            "address_purpose": "LOCATION",
            "city": "Port Royal",
            "state": "SC",
            "postal_code": "299351403",
            "country_code": "US",
            "telephone_number": "843-524-3241",
            "fax_number": "843-322-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP042593T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.