Organization Active NPI

Kristin Lohan Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Swampscott, MA
National Provider Identifier
1104316678
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
10805 Issued in MA
Legal business name
KRISTIN LOHAN PHYSICAL THERAPY AND WELLNESS LLC
Practice address
213 Essex St # 1
Swampscott, MA 01907
Phone
(978) 341-4238
Fax
(781) 469-0617
NPI assigned
May 10, 2018
Last updated
May 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kristin Rowe Lohan, PT, MSPTNPI 1518941897
Title
Physical Therapist
Phone
(781) 929-5241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 10805 MA Primary

Addresses

Primary practice location

213 Essex St # 1
Swampscott, MA 01907

Mailing address

213 Essex St # 1
Swampscott, MA 01907-1150
Phone (781) 929-5241

Other identifiers 1

IdentifierTypeStateIssuer
1518941897MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180724003204 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719232420 Receives reassigned benefits from 2 practitioners
Practice locations: Swampscott, MA

National Provider Directory

National Provider Directory

Locations

213 Essex St
Swampscott, MA 01907
Phone (978) 341-4238

213 Essex St
#1
Swampscott, MA 01907
Phone (978) 341-4238

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1104316678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 ESSEX ST # 1",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071150",
            "telephone_number": "781-929-5241",
            "fax_number": "781-469-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 ESSEX ST # 1",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "01907",
            "telephone_number": "978-341-4238",
            "fax_number": "781-469-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN LOHAN PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "LOHAN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ROWE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "781-929-5241",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "10805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518941897",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.