Individual provider Active NPI

Lori Vyrne, PTA

  • Physical Therapy Assistant
  • Boca Raton, FL
National Provider Identifier
1013117589
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA17624 Issued in FL
Practice address
433 Plaza Real
Suite 255
Boca Raton, FL 33432-3932
Phone
(561) 237-1717
Fax
(561) 237-1725
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA17624 FL Primary

Addresses

Primary practice location

433 Plaza Real
Suite 255
Boca Raton, FL 33432-3932

Mailing address

433 Plaza Real
Suite 255
Boca Raton, FL 33432-3932
Phone (561) 237-1717

Other identifiers 1

IdentifierTypeStateIssuer
PTA17624OtherFLSTATE LICENSE

Other names 1

  • Lori Weiser 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA17624FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Therapy Medical Group FL Past Accepting new patients

Organizations & group practices 1

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1013117589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 PLAZA REAL",
            "address_2": "SUITE 255",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323932",
            "telephone_number": "561-237-1717",
            "fax_number": "561-237-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA REAL",
            "address_2": "SUITE 255",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323932",
            "telephone_number": "561-237-1717",
            "fax_number": "561-237-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYRNE",
        "first_name": "LORI",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA17624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PTA17624",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "WEISER",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.