Individual provider Active NPI

Lori Joseph, DPT

  • Physical Therapist
  • Portland, ME
National Provider Identifier
1104474766
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5468 Issued in ME
Practice address
466 Ocean Avenue
Portland, ME 04103-5718
Phone
(207) 899-0307
Fax
(207) 619-7295
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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 PT5468 ME Primary

Addresses

Primary practice location

466 Ocean Avenue
Portland, ME 04103-5718

Mailing address

466 Ocean Avenue
Portland, ME 04103-5718
Phone (207) 899-0307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923001335 ME Practitioner - Physical Therapist in Private Practice 6507196268 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casco Bay Physical Therapy PAGroup PAC ID 4587765367, 6 clinicians
Azele LimitedGroup PAC ID 8022526722, 6 clinicians

Practice addresses (Care Compare)

367 US Route 1
Falmouth, ME 04105-1350
Phone (207) 781-5540

380 Western Ave
South Portland, ME 04106-1720
Phone (207) 781-5540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5468MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcalls LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Casco Bay Physical Therapy PA Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Azele Limited Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Maine Strong Physical Therapy PA Physical Therapist PastSince May 18, 2022 Accepting new patients

Locations

367 US Route 1
Falmouth, ME 04105
Phone (207) 781-5540

380 Western Ave
South Portland, ME 04106
Phone (207) 233-7731

Organizations & group practices 4

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1104474766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 OCEAN AVENUE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035718",
            "telephone_number": "207-899-0307",
            "fax_number": "207-619-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 OCEAN AVENUE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035718",
            "telephone_number": "207-899-0307",
            "fax_number": "207-619-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "LORI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.