Individual provider Active NPI

Lori-Anne Diserio, PT

  • Physical Therapist
  • Edison, NJ
National Provider Identifier
1245882240
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
NJ40QA00532700 Issued in NJ
Practice address
3 Longview Rd
Edison, NJ 08820-3638
Phone
(732) 548-1969
Fax
(732) 548-5335
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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 NJ40QA00532700 NJ Primary

Addresses

Primary practice location

3 Longview Rd
Edison, NJ 08820-3638

Mailing address

3 Longview Rd
Edison, NJ 08820-3638
Phone (732) 548-1969

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

LicenseStateTypeSpecialty
NJ40QA00532700NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1245882240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LONGVIEW RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203638",
            "telephone_number": "732-548-1969",
            "fax_number": "732-548-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LONGVIEW RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203638",
            "telephone_number": "732-548-1969",
            "fax_number": "732-548-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISERIO",
        "first_name": "LORI-ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "NJ40QA00532700",
            "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 Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.