Individual provider Active NPI

Lisa Hotaling, PT

  • Physical Therapist
  • Bradenton, FL
National Provider Identifier
1538293295
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18332 Issued in FL
Practice address
Fyzical Lakewood Ranch
5860 Ranch Lake Blvd #102
Bradenton, FL 34202
Phone
(941) 417-8300
Fax
(941) 417-8301
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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 PT18332 FL Primary

Addresses

Primary practice location

Fyzical Lakewood Ranch
5860 Ranch Lake Blvd #102
Bradenton, FL 34202

Mailing address

Fyzical Lakewood Ranch
5860 Ranch Lake Blvd #102
Bradenton, FL 34202
Phone (941) 417-8300

Other names 1

  • Lisa Aaronson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051123000223 FL Practitioner - Physical Therapist in Private Practice 9234159096 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5860 Ranch Lake Blvd
Suite 102
Bradenton, FL 34202-3719
Phone (941) 212-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Calibrated Health LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Nalin LLC Physical Therapist CurrentSince May 2, 2017 Accepting new patients
Request Physical Therapy Inc Physical Therapist CurrentSince Dec 8, 2010 Accepting new patients
Advanced Physical Therapy of Venice Inc Physical Therapist PastSince Aug 4, 2023 Accepting new patients
Advanced Physical Therapy of Englewood Inc Physical Therapist Past Accepting new patients
Advanced Physical Therapy of Palmetto Inc Physical Therapist Past Accepting new patients
Equest Physical Therapy Past Accepting new patients

Locations

2601 Manatee Ave W
Ste E
Bradenton, FL 34205
Phone (941) 744-0040

2601 Manatee Ave W
Bradenton, FL 34205
Phone (941) 744-9046

4831 27th St W
Bradenton, FL 34207
Phone (941) 212-1444

2722 Manatee Ave W
Ste 2
Bradenton, FL 34205
Phone (941) 708-3335

5860 Ranch Lake Blvd
Ste 102
Bradenton, FL 34202
Phone (941) 212-1444

506 4th Ave W
Palmetto, FL 34221
Phone (941) 729-1800

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1538293295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FYZICAL LAKEWOOD RANCH",
            "address_2": "5860 RANCH LAKE BLVD #102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34202",
            "telephone_number": "941-417-8300",
            "fax_number": "941-417-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FYZICAL LAKEWOOD RANCH",
            "address_2": "5860 RANCH LAKE BLVD #102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34202",
            "telephone_number": "941-417-8300",
            "fax_number": "941-417-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTALING",
        "first_name": "LISA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "AARONSON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.