Active NPI
Lorrie Suzanne Bojescu, PT
- Physical Therapist
- Richmond, CA
National Provider Identifier
1235881889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28344
- Practice address
- 832 Maison Way
Richmond, CA 94803-3570 - Phone
- (510) 367-1747
- NPI assigned
- Jan 25, 2022
- 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 Therapist | 225100000X | 28344 | CA | Primary |
Addresses
Primary practice location
832 Maison Way
Richmond, CA 94803-3570
Mailing address
832 Maison Way
Richmond, CA 94803-3570
Phone (510) 367-1747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28344 | Other | CA | PT 28344 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Richmond | Direct |
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 |
|---|---|---|---|
| 28344 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1235881889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 MAISON WAY",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948033570",
"telephone_number": "510-367-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 MAISON WAY",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948033570",
"telephone_number": "510-367-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOJESCU",
"first_name": "LORRIE",
"middle_name": "SUZANNE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "28344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT 28344",
"identifier": "28344",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Richmond",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "832 Maison Way",
"city": "Richmond",
"state": "CA",
"country_code": "US",
"postal_code": "948033570",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.