Active NPI
Sandra Lynn Hauck, PT
- Physical Therapist
- Windermere, FL
National Provider Identifier
1730308628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 19258
- Practice address
- 9740 Wyland CT
Windermere, FL 34786-5610 - Phone
- (407) 876-0044
- Fax
- (407) 905-8908
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 19258 | FL | Primary |
Addresses
Primary practice location
9740 Wyland CT
Windermere, FL 34786-5610
Mailing address
1002 S Dillard St
Suite 106
Winter Garden, FL 34787-3991
Phone (407) 905-8908
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 19258 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1730308628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 S DILLARD ST",
"address_2": "SUITE 106",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873991",
"telephone_number": "407-905-8908",
"fax_number": "407-905-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9740 WYLAND CT",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347865610",
"telephone_number": "407-876-0044",
"fax_number": "407-905-8908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUCK",
"first_name": "SANDRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 19258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.