Active NPI
Lori Ann Raber, ATC, PTA
- Physical Therapy Assistant
- Downey, CA
National Provider Identifier
1134510779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT 2525
- Practice address
- 12555 Lakewood Blvd Ste F
Downey, CA 90242-2771 - Phone
- (562) 923-4704
- NPI assigned
- Feb 17, 2015
- 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 Therapy Assistant | 225200000X | AT 2525 | CA | Primary |
Addresses
Primary practice location
12555 Lakewood Blvd Ste F
Downey, CA 90242-2771
Mailing address
12555 Lakewood Blvd Ste D
Downey, CA 90242-2771
Phone (562) 923-4704
Other names 1
- Ms. Lori Ann Upperman
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 |
|---|---|---|---|
| AT 2525 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1134510779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12555 LAKEWOOD BLVD STE D",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902422771",
"telephone_number": "562-923-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12555 LAKEWOOD BLVD STE F",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902422771",
"telephone_number": "562-923-4704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABER",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "ATC, PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT 2525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "UPPERMAN",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "ATC, PTA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.