Individual provider Active NPI

Audrey Loren Hulette, PT, DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1700658002
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008951 Issued in KY
Practice address
4101 Tates Creek Centre Dr Ste 144
Lexington, KY 40517-3068
Phone
(859) 271-2887
NPI assigned
Oct 30, 2023
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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 008951 KY Primary

Addresses

Primary practice location

4101 Tates Creek Centre Dr Ste 144
Lexington, KY 40517-3068

Mailing address

4101 Tates Creek Centre Dr Ste 144
Lexington, KY 40517-3068
Phone (859) 271-2887

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
008951KYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1700658002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TATES CREEK CENTRE DR STE 144",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173068",
            "telephone_number": "859-271-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TATES CREEK CENTRE DR STE 144",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173068",
            "telephone_number": "859-271-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULETTE",
        "first_name": "AUDREY",
        "middle_name": "LOREN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.