Active NPI
Lauren Hose Tatum, DPT
- Physical Therapist
- Florala, AL
National Provider Identifier
1255977609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH9294
- Practice address
- 804 Elm St
Florala, AL 36442-3560 - Phone
- (334) 574-0041
- NPI assigned
- Nov 20, 2019
- Last updated
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH9294 | AL | Primary |
Addresses
Primary practice location
804 Elm St
Florala, AL 36442-3560
Mailing address
245 Cahaba Valley Pkwy Ste 200
Pelham, AL 35124-2217
Phone (205) 942-6820
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH9294 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1255977609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 CAHABA VALLEY PKWY STE 200",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242217",
"telephone_number": "205-942-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 ELM ST",
"city": "FLORALA",
"state": "AL",
"postal_code": "364423560",
"telephone_number": "334-574-0041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "LAUREN",
"middle_name": "HOSE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH9294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florala, AL
- Restore Therapy Services, LTD (Restore Outpatient of Florala)
- S.Vishwanath MD PC
- Serendipity Healthy Living Community, LLC
- Charles Thomas Smith II, RPH
- Terry Ann Marcen Sturm, CRNP
- United Florala Inc. (Florala Clinic)
- United Florala Inc. (Florala Memorial Hospital)
- United Florala Inc. (Florala Rural Health)
- United Florala, Inc (Florala Memorial Hospital)
- Sasikumar Vishwanath, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.