Active NPI
Lori Deering, PHYSICAL THERAPIST
- Physical Therapist
- Saint Albans, VT
National Provider Identifier
1134225899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040-0002719
- Practice address
- 260 Crest Rd Ste 101
Saint Albans, VT 05478-9501 - Phone
- (802) 524-1223
- Fax
- (802) 524-1095
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040-0002719 | VT | Primary |
Addresses
Primary practice location
260 Crest Rd Ste 101
Saint Albans, VT 05478-9501
Mailing address
260 Crest Rd Ste 101
Saint Albans, VT 05478-9501
Phone (802) 524-1223
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49100 | Other | VT | BLUE CROSS PROVIDER NUMBE |
| 8611849 | Other | VT | CIGNA PROVIDER NUMBER |
| 362883 | Other | VT | MVP PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040-0002719 | VT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134225899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 CREST RD STE 101",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054789501",
"telephone_number": "802-524-1223",
"fax_number": "802-524-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 CREST RD STE 101",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054789501",
"telephone_number": "802-524-1223",
"fax_number": "802-524-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEERING",
"first_name": "LORI",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040-0002719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "49100",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "8611849",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP PROVIDER NUMBER",
"identifier": "362883",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.