Individual provider Active NPI

Lorraine Nejaime, PT

  • Specialist
  • Torrington, CT
National Provider Identifier
1225413859
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
010556 Issued in CT
Practice address
117 Apter Dr
Torrington, CT 06790-5762
Phone
(860) 482-6698
NPI assigned
Jul 24, 2015
Last updated
Jul 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 010556 CT Primary

Addresses

Primary practice location

117 Apter Dr
Torrington, CT 06790-5762

Mailing address

117 Apter Dr
Torrington, CT 06790-5762
Phone (860) 482-6698

Other names 1

  • Lorraine Nejaime-de Loos Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923000451 VT Practitioner - Physical Therapist in Private Practice 4486195104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT 360 IncGroup PAC ID 0749469906, 18 clinicians

Practice addresses (Care Compare)

80 Colchester Ave
Burlington, VT 05401-1417
Phone (802) 657-7990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010556CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT 360 Inc CurrentSince Aug 16, 2024 Accepting new patients

Locations

80 Colchester Ave
Burlington, VT 05401
Phone (802) 657-7990

426 Industrial Ave
Ste 190
Williston, VT 05495
Phone (802) 657-7990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1225413859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 APTER DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905762",
            "telephone_number": "860-482-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 APTER DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905762",
            "telephone_number": "860-482-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEJAIME",
        "first_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "010556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "NEJAIME-DE LOOS",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.