Individual provider Active NPI

Catherine Oddi Lachance, D.P.T.

  • Pediatric Physical Therapist
  • Lawrenceville, GA
National Provider Identifier
1275965725
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT011112 Issued in GA
Practice address
1509 Atkinson Rd
Suite 1100
Lawrenceville, GA 30043-7986
Phone
(770) 995-2379
Fax
(770) 995-2385
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT011112 GA Primary

Addresses

Primary practice location

1509 Atkinson Rd
Suite 1100
Lawrenceville, GA 30043-7986

Mailing address

3093 Rockview Dr
Loganville, GA 30052-5678
Phone (912) 312-2615

Other names 1

  • Miss Catherine Lynn Oddi Former name

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

LicenseStateTypeSpecialty
PT011112GAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Works,P.C. Past Accepting new patients
Physical Therapy Plus, Inc Past Accepting new patients

Organizations & group practices 2

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": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1275965725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3093 ROCKVIEW DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525678",
            "telephone_number": "912-312-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 ATKINSON RD",
            "address_2": "SUITE 1100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437986",
            "telephone_number": "770-995-2379",
            "fax_number": "770-995-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHANCE",
        "first_name": "CATHERINE",
        "middle_name": "ODDI",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT011112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "ODDI",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.