Lauren Pruitt, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306603103 Issued in VA

Practice address

20480 Market St
Onancock, VA 23417-4309

Phone

(757) 710-7968

NPI assigned

Mar 20, 2018

Last updated

Mar 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lauren Pruitt Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1841794476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27311 DRUMMONDTOWN RD",
            "city": "ONLEY",
            "state": "VA",
            "postal_code": "234182219",
            "telephone_number": "757-710-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20480 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234174309",
            "telephone_number": "757-710-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "LAUREN",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "PRUITT",
            "prefix": "MRS.",
            "credential": "LPTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Physical Therapy Assistant in Onancock, VA
• Providers in Onancock, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.