Individual provider Active NPI

Lori Danae Caloia, PT ATC

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1083666499
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011777 Issued in MI
Practice address
1701 South Blvd E Ste 110
Rochester Hills, MI 48307-6118
Phone
(248) 853-4431
Fax
(248) 853-5048
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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 5501011777 MI Primary

Addresses

Primary practice location

1701 South Blvd E Ste 110
Rochester Hills, MI 48307-6118

Mailing address

1701 South Blvd E Ste 110
Rochester Hills, MI 48307-6118
Phone (248) 853-4431

Other practice location 1

73 W. Fourth St
Suttons Bay, MI 49682-9487
Phone (231) 271-3939

Other practice location 2

73 W. Fourth St
Suttons Bay, MI 49682-9487
Phone (231) 271-3939

Other practice location 3

4800 Highland Rd
Waterford, MI 48328-1176
Phone (248) 673-0500 ext. 24

Other names 1

  • Lor Danae Brockman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041108000041 MI Practitioner - Physical Therapist in Private Practice 0941263354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Orthopedics PCGroup PAC ID 5294788261, 6 clinicians

Practice addresses (Care Compare)

4800 Highland Rd
Waterford, MI 48328-1176
Phone (248) 673-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
General Orthopedics, PC Current Accepting new patients
General Orthopedics, PC CurrentSince Jan 6, 2025 Accepting new patients
The Training Room of Trenton LLC Physical Therapist Past Accepting new patients

Locations

4800 Highland Rd
Waterford, MI 48328
Phone (248) 673-0500

Organizations & group practices 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1083666499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 110",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076118",
            "telephone_number": "248-853-4431",
            "fax_number": "248-853-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 110",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076118",
            "telephone_number": "248-853-4431",
            "fax_number": "248-853-5048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 W. Fourth St",
            "address_purpose": "LOCATION",
            "city": "Suttons Bay",
            "state": "MI",
            "postal_code": "496829487",
            "country_code": "US",
            "telephone_number": "231-271-3939",
            "fax_number": "231-271-3959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 W. Fourth St",
            "address_purpose": "LOCATION",
            "city": "Suttons Bay",
            "state": "MI",
            "postal_code": "496829487",
            "country_code": "US",
            "telephone_number": "231-271-3939",
            "fax_number": "231-271-3959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Highland Rd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483281176",
            "country_code": "US",
            "telephone_number": "248-673-0500 x24",
            "fax_number": "248-493-5988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALOIA",
        "first_name": "LORI",
        "middle_name": "DANAE",
        "name_prefix": "Ms.",
        "credential": "PT ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOR",
            "last_name": "BROCKMAN",
            "middle_name": "DANAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.