Lauren Fisch Pelham

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3878 Issued in FL

Practice address

1414 Piedmont Dr E Ste 100
Tallahassee, FL 32308-7967

Phone

(850) 270-7374

Fax

(850) 273-5629

NPI assigned

Jun 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Abbey Folsom PLLC

  dba Nutrition Abbey

  • Nutritionist
  • Tallahassee, FL
  • NPI 1568234318
  NPD

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1902536246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 PIEDMONT DR E STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087967",
            "telephone_number": "850-270-7374",
            "fax_number": "850-273-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 PIEDMONT DR E STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087967",
            "telephone_number": "850-270-7374",
            "fax_number": "850-273-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELHAM",
        "first_name": "LAUREN",
        "middle_name": "FISCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT3878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Peek, LCSW
• Thomas C. Peele, M.D.07
• Christy L Peeler
• Anantharam Peesapati, MD
• Gia Alessia Peixoto
• Mary Pellegrino, M.A. CCC-SLP
• Jeniffer M Pelletier, CRNA
• Michelle Strutzel Pellito, MT-BC
• Brenda Peltz, OTR/L
• Victoria Isabel Penaloza

• Physical Therapist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.