Individual provider Active NPI

Lore J Tarantino

  • Physical Therapist
  • Northfield, NJ
National Provider Identifier
1154010064
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00465100 Issued in NJ
Practice address
2300 New Rd
Northfield, NJ 08225-1466
Phone
(609) 204-4849
Fax
(609) 383-8340
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 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 40QA00465100 NJ Primary

Addresses

Primary practice location

2300 New Rd
Northfield, NJ 08225-1466

Mailing address

3906 W Brigantine Ave
Brigantine, NJ 08203-3324
Phone (609) 665-3461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025000032 NJ Practitioner - Physical Therapist in Private Practice 1658727870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Fitness, LLCGroup PAC ID 4385878362, 57 clinicians

Practice addresses (Care Compare)

2300 New Rd
Suite 103
Northfield, NJ 08225-1457
Phone (609) 204-4849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00465100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Rehabilitation LLC Physical Therapist CurrentSince Oct 13, 2024 Accepting new patients
Spectrum Fitness, LLC Physical Therapist CurrentSince Sep 27, 2023 Accepting new patients
Holistic Approach Physiotherapy Intervention, LLC Physical Therapist CurrentSince Sep 24, 2023 Accepting new patients

Locations

2300 New Rd
Ste 103
Northfield, NJ 08225
Phone (609) 204-4849

2300 New Rd
Northfield, NJ 08225
Phone (609) 204-4849

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": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1154010064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 W BRIGANTINE AVE",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082033324",
            "telephone_number": "609-665-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251466",
            "telephone_number": "609-204-4849",
            "fax_number": "609-383-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTINO",
        "first_name": "LORE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00465100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.