Individual provider Active NPI

Lauren Hottel, DPT

  • Physical Therapist
  • Marlton, NJ
National Provider Identifier
1285053397
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01542000 Issued in NJ
Practice address
701 Route 73 N
Marlton, NJ 08053
Phone
(856) 396-8900
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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 40QA01542000 NJ Primary

Addresses

Primary practice location

701 Route 73 N
Marlton, NJ 08053

Mailing address

740 Marne Hwy
Ste 203
Moorestown, NJ 08057-3127
Phone (856) 914-1400

Other practice location 1

123 Egg Habor Rd
Ste 305
Sewell, NJ 08080
Phone (856) 914-1400

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
40QA01542000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ultima Rehab-NJ LLC Past Accepting new patients
Bayada Home Health Care, Inc. Physical Therapist PastSince Apr 15, 2019 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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1285053397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MARNE HWY",
            "address_2": "STE 203",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573127",
            "telephone_number": "856-914-1400",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ROUTE 73 N",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-396-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Egg Habor Rd",
            "address_2": "Ste 305",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "08080",
            "country_code": "US",
            "telephone_number": "856-914-1400",
            "fax_number": "856-234-3014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOTTEL",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01542000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.