Active NPI
Lori Mieko Yokomizo, PT, DPT
- Physical Therapist
- Edison, NJ
National Provider Identifier
1154820264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01735800
- Practice address
- 65 James St
Edison, NJ 08820-3947 - Phone
- (732) 321-7000
- NPI assigned
- Feb 4, 2018
- 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 | 40QA01735800 | NJ | Primary |
Addresses
Primary practice location
65 James St
Edison, NJ 08820-3947
Mailing address
47 Phoenix Ave
Edison, NJ 08837-3132
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01735800 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517702400000",
"number": "1154820264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 PHOENIX AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088373132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 JAMES ST",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203947",
"telephone_number": "732-321-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOKOMIZO",
"first_name": "LORI",
"middle_name": "MIEKO",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-04",
"last_updated": "2018-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01735800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.