Lauren Bangel
Individual provider Active NPI Physical Therapist · Southampton, NY
NPI 1477066272 · NPPES record last updated Nov 15, 2017
Key facts
- NPI
- 1477066272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 033408 (NY)
- Practice address
- 240 Meeting House LN
Southampton, NY 11968-5009 - Phone
- (631) 726-8200
- NPI assigned
- Nov 15, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033408 | NY | Yes |
Addresses
Primary practice location
240 Meeting House LN
Southampton, NY 11968-5009
Mailing address
147 Beach Rd Ste C
Westhampton Beach, NY 11978-1733
Other providers in Southampton, NY
- Louis J Avvento
- Rami Azzam
- Ali El-Rida Baghdadi
- Constantine Bakas
- Monina Baldo
- Nathaniel Barber
- Henry Barbey
- Brian Michael Barrett
- Carol Barry
- Christine Barry
All providers in Southampton, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.