Lori E Andersen, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 19402 Issued in CA

Practice address

624 Castano Ave
Pasadena, CA 91107-2753

Phone

(626) 568-4997

NPI assigned

Oct 9, 2009

Last updated

Oct 9, 2009By 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 CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mobile Rehab Physical Therapy Inc

  • Physical Therapist
  • Pasadena, CA
  • NPI 1588999403
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1063747970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 CASTANO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072753",
            "telephone_number": "626-568-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 CASTANO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072753",
            "telephone_number": "626-568-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "LORI",
        "middle_name": "E",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 19402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Karina Anaya, M.D.
• Patrick M Ancheta
• Anchor Children and Family Counseling, Inc
• Anchor Psychotherapy, Inc.
• James S Andersen, MD
• Andrea Anderson
• Andrew William Anderson
• Brad Charles Anderson, OTR/L
• Deborah Anderson
• Jack Glenn Anderson, PH.D.

• Physical Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.