Individual provider Active NPI

Margie Susan Lora, PT, DPT

  • Physical Therapist
  • Newark, NJ
National Provider Identifier
1043716640
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01777000 Issued in NJ
Practice address
266-272 Chestnut St Ste a
Newark, NJ 07105-6521
Phone
(973) 732-3853
Fax
(732) 855-9755
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01777000 NJ Primary

Addresses

Primary practice location

266-272 Chestnut St Ste a
Newark, NJ 07105-6521

Mailing address

PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751

Other practice location 1

4100 Park Ave Ste 8B
Weehawken, NJ 07086-6182
Phone (201) 271-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030000070 NJ Practitioner - Physical Therapist in Private Practice 9335559400 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Oct 21, 2020 Accepting new patients
Pain Relief Center PA CurrentSince Nov 12, 2023 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Oct 21, 2020 Accepting new patients
Kessler Institute for Rehabilitation Inc Past Accepting new patients

Locations

20 Commerce Dr
Ste 210
Cranford, NJ 07016

266-272 Chestnut St
Ste A
Newark, NJ 07105
Phone (973) 732-3850

266-272 Chestnut St
Newark, NJ 07105
Phone (973) 322-7400

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1043716640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266-272 CHESTNUT ST STE A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071056521",
            "telephone_number": "973-732-3853",
            "fax_number": "732-855-9755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Park Ave Ste 8B",
            "address_purpose": "LOCATION",
            "city": "Weehawken",
            "state": "NJ",
            "postal_code": "070866182",
            "country_code": "US",
            "telephone_number": "201-271-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORA",
        "first_name": "MARGIE",
        "middle_name": "SUSAN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01777000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.