Organization Active NPI

Dr Lauren PT LLC

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1639895303
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DR LAUREN PT LLC
Practice address
1200 Clint Moore Rd Ste 11
Boca Raton, FL 33487-2731
Phone
(561) 235-2976
Fax
(561) 270-5504
NPI assigned
Oct 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Dr. Lauren Waling, PTNPI 1386199305
Title
Owner
Phone
(561) 235-2976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1200 Clint Moore Rd Ste 11
Boca Raton, FL 33487-2731

Mailing address

9373 Fox Trot LN
Boca Raton, FL 33496-4103
Phone (561) 235-2976

Other names 1

  • ACHIEVE MOVEMENT PHYSICAL THERAPY & SPORTS REHAB Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221117000010 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729456090 Receives reassigned benefits from 3 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

1200 Clint Moore Rd
Ste 11
Boca Raton, FL 33487
Phone (561) 235-2976

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1639895303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9373 FOX TROT LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334964103",
            "telephone_number": "561-235-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CLINT MOORE RD STE 11",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872731",
            "telephone_number": "561-235-2976",
            "fax_number": "561-270-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LAUREN PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "WALING",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-235-2976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACHIEVE MOVEMENT PHYSICAL THERAPY & SPORTS REHAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACHIEVE MOVEMENT PHYSICAL THERAPY & SPORTS REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.