Individual provider Active NPI

Lauren Groves Van Der Sluys, P.T.

  • Physical Therapist
  • Suwanee, GA
National Provider Identifier
1134474273
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4045 Johns Creek Pkwy
Suwanee, GA 30024-1217
Phone
(678) 206-6061
Fax
(678) 206-6064
NPI assigned
Jul 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4045 Johns Creek Pkwy
Suwanee, GA 30024-1217

Mailing address

4045 Johns Creek Pkwy
Suwanee, GA 30024-1217
Phone (678) 206-6061

Other names 1

  • Ms. Lauren Davis Groves Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170509002845 GA Practitioner - Physical Therapist in Private Practice 6800173428 Reassigns benefits to 1 organization
I20230825003151 FL Practitioner - Physical Therapist in Private Practice 6800173428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Solutions of Pensacola, LLCGroup PAC ID 7517102973, 32 clinicians

Practice addresses (Care Compare)

5860 E State Hwy 100
Unit 100
Palm Coast, FL 32164-2424
Phone (386) 597-1903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions of Acworth, LLC Physical Therapist CurrentSince May 1, 2017 Accepting new patients
PT Solutions of Acworth LLC Physical Therapist CurrentSince May 1, 2017 Accepting new patients
PT Solutions of Pensacola, LLC Physical Therapist CurrentSince Jul 20, 2023 Accepting new patients
PT Solutions of Pensacola LLC Physical Therapist CurrentSince Jul 20, 2023 Accepting new patients

Locations

250 Palm Coast Pkwy NE
Unit 209A
Palm Coast, FL 32137
Phone (386) 597-1927

5860 State Highway 100 E
Unit 100
Palm Coast, FL 32164
Phone (386) 597-1903

5401 Corporate Woods Dr
Ste 300
Pensacola, FL 32504
Phone (850) 912-6840

115 Bartram Oaks Walk
Ste 101
St Johns, FL 32259
Phone (904) 217-3107

1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555

650 Henderson Dr
Ste 310
Cartersville, GA 30120
Phone (678) 721-9922

2061 Experiment Station Rd
Ste 403
Watkinsville, GA 30677
Phone (844) 734-2204

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": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1134474273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 JOHNS CREEK PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241217",
            "telephone_number": "678-206-6061",
            "fax_number": "678-206-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 JOHNS CREEK PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241217",
            "telephone_number": "678-206-6061",
            "fax_number": "678-206-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER SLUYS",
        "first_name": "LAUREN",
        "middle_name": "GROVES",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-15",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GROVES",
            "middle_name": "DAVIS",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.