Lori Goebel

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05008342A Issued in IN

Practice address

1411 S Creasy LN Ste 100
Lafayette, IN 47905-7433

Phone

(765) 447-5552

Fax

(765) 449-1054

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By 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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unity Healthcare LLCGroup PAC ID 0244123362, 62 clinicians

Miracles Rehabilitation LLCGroup PAC ID 2567998750, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Miracles Rehabilitation LLC

  • Physical Therapist
  • Lafayette, IN
  • NPI 1457178436
  Medicare reassignment Care Compare group NPD
• Unity Healthcare, LLC

  • Clinic/Center
  • Lafayette, IN
  • NPI 1619929098
  Medicare reassignment Care Compare group NPD
• Unity Healthcare LLC

  dba Lafayette Vein and Vascular

  • Vascular Surgery Physician
  • Lafayette, IN
  • NPI 1427759182
  NPD
• Unity Healthcare, LLC

  dba Lafayette Rehabilitation Services

  • Physical Therapist
  • Lafayette, IN
  • NPI 1619983947
  NPD
• Unity Healthcare LLC

  dba Unity Radiology

  • Diagnostic Radiology Physician
  • Lafayette, IN
  • NPI 1497912497
  NPD (past)

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1043846637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-446-5417",
            "fax_number": "765-446-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S CREASY LN STE 100",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057433",
            "telephone_number": "765-447-5552",
            "fax_number": "765-449-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008342A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glasswater Creek of Lafayette, LLC (Glasswater Creek of Lafayette)
• GLHS Anesthesia Group
• Kayla Le Anne Glover, BSN, RN
• Pradeep Gnanapragasam, M.D.,
• Rachel Marie Goad, DDS
• Hanane Goelzer, CNM
• Gabriel William Goen
• Sarah Goff
• Kaitlyn Gohn, PA-C
• Anahi Gomez

• Physical Therapist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.