Lori B Large

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24383 Issued in FL

Practice address

5003 Saint Marie Ave
Belle Isle, FL 32812-1068

Phone

(419) 787-5508

NPI assigned

May 2, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• United Cerebral Palsy of Central Florida, Inc.

  • Voluntary or Charitable Agency
  • Kissimmee, FL
  • NPI 1982371050
  NPD (past)

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1073804522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 SAINT MARIE AVE",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328121068",
            "telephone_number": "419-787-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 SAINT MARIE AVE",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328121068",
            "telephone_number": "419-787-5508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5249 Wellington Park Cir Apt B33",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328394619",
            "country_code": "US",
            "telephone_number": "419-787-5508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARGE",
        "first_name": "LORI",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Henry Hards, D.D.S.
• Alexandra Hartley, AP, LMT
• Mary Jean Hyde White, REGISTERED NURSE
• Deborah Irizarry, MSW
• Daniela Jaramillo, B.S.
• Rachel Morris
• Orange Doctors Group LLC
• Gabriel Pagan-Llorens, PSYCHOLOGIST
• Pediatric Therapy Experts, LLC
• Sara Diluzio Pennell, SLP

• Physical Therapist in Belle Isle, FL
• Providers in Belle Isle, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.