Individual provider Active NPI

Lori A Sirotkin, P.T.

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1053655126
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 24649 Issued in FL
Practice address
121 NW Gardner St
Boca Raton, FL 33432-3800
Phone
(561) 221-3313
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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 PT 24649 FL Primary

Addresses

Primary practice location

121 NW Gardner St
Boca Raton, FL 33432-3800

Mailing address

121 Gardner Street
Boca Raton, FL 33432-3800
Phone (561) 221-3313

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 24649FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Power Plus Rehab, Inc. Physical Therapist CurrentSince Dec 15, 2003 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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1053655126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GARDNER STREET",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323800",
            "telephone_number": "561-221-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NW GARDNER ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323800",
            "telephone_number": "561-221-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROTKIN",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 24649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 15, 2012; 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.