NPIMap

Individual provider Active NPI

Lauren Elise Connolly, P.T.

  • Orthopedic Physical Therapist
  • Marietta, GA
National Provider Identifier
1790714434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT008434 Issued in GA
Practice address
300 Tower Rd NE
Suite 100
Marietta, GA 30060-9404
Phone
(770) 499-9918
Fax
(770) 792-8276
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT008434 GA Primary

Addresses

Primary practice location

300 Tower Rd NE
Suite 100
Marietta, GA 30060-9404

Mailing address

199 14TH St NE
#2803
Atlanta, GA 30309-3643
Phone (770) 499-9918

Other identifiers 4

IdentifierTypeStateIssuer
52198163006OtherGABCBS AUSTELL LOCATION
52198163002OtherGABCBS MARIETTA LOCATION
52198163004OtherGABCBS WOODSTOCK LOCATION
52198163008OtherGABCBS DOUGLASVILLE LOCATIO

Other names 1

  • Lauren Elise Brown Other name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC Orthopedic Past Accepting new patients
Patch Technique PLLC PastSince Apr 23, 2023 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC Past Accepting new patients
Integrated Physical Therapy, LLC Orthopedic PastSince Sep 15, 2004 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790714434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 14TH ST NE",
            "address_2": "#2803",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093643",
            "telephone_number": "770-499-9918",
            "fax_number": "770-792-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TOWER RD NE",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609404",
            "telephone_number": "770-499-9918",
            "fax_number": "770-792-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "LAUREN",
        "middle_name": "ELISE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT008434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AUSTELL LOCATION",
            "identifier": "52198163006",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MARIETTA LOCATION",
            "identifier": "52198163002",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WOODSTOCK LOCATION",
            "identifier": "52198163004",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DOUGLASVILLE LOCATIO",
            "identifier": "52198163008",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BROWN",
            "middle_name": "ELISE",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.