Active NPI
Lori Lagattuta
- Physical Therapy Assistant
- Lagrangeville, NY
National Provider Identifier
1225669385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 012409
- Practice address
- 1097 Route 55 Ste 6
Lagrangeville, NY 12540-5027 - Phone
- (845) 454-4137
- NPI assigned
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 012409 | NY | Primary |
Addresses
Primary practice location
1097 Route 55 Ste 6
Lagrangeville, NY 12540-5027
Mailing address
1292 Route 9W
Marlboro, NY 12542-5402
Phone (845) 625-4542
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 |
|---|---|---|---|
| 012409 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moriarty Physical Therapy, P.C. | Multi-Specialty | Current | Accepting new patients |
Locations
1097 Route 55
Ste 6
Lagrangeville, NY 12540
Phone (845) 454-4137
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1225669385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1292 ROUTE 9W",
"city": "MARLBORO",
"state": "NY",
"postal_code": "125425402",
"telephone_number": "845-625-4542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1097 ROUTE 55 STE 6",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405027",
"telephone_number": "845-454-4137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGATTUTA",
"first_name": "LORI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "012409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lagrangeville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.