Healthcare Provider Details

I. General information

NPI: 1609790138
Provider Name (Legal Business Name): LAUREN HALL PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 W YAMATO RD STE 104
BOCA RATON FL
33431-4478
US

IV. Provider business mailing address

123 NW 6TH AVE
DELRAY BEACH FL
33444-2656
US

V. Phone/Fax

Practice location:
  • Phone: 561-203-1323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT44734
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: