Maria E Lofgren, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT971 Issued in WY

Practice address

120 W Pearl Ave
Jackson, WY 83001-8657

Phone

(307) 734-9129

Fax

(307) 734-1427

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maria E Lofgren Other name

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Physical Therapy LLCGroup PAC ID 0345242178, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Excel Physical Therapy, LLC

  • Physical Therapist
  • Jackson, WY
  • NPI 1356414684
  Medicare reassignment Care Compare group NPD
• Orthopaedics of Jackson Hole PC

  • Orthopaedic Surgery Physician
  • Jackson, WY
  • NPI 1336221712
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1285680041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 POLO PONY RD",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018974",
            "telephone_number": "307-734-9129",
            "fax_number": "307-734-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W PEARL AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018657",
            "telephone_number": "307-734-9129",
            "fax_number": "307-734-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFGREN",
        "first_name": "MARIA",
        "middle_name": "E",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "LOFGREN",
            "middle_name": "E",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa M Potzernitz
• James R Little Jr., MD
• James Russell Little, MD
• LJC,Inc Dba Stone Drug
• Maura J. Lofaro, MD, FACOG
• Elizabeth E Logan, O.T.R. C.H.T.
• Kathleen M Logan, M.D.
• Lindsay M Long, LCSW
• Rachel Long, PCSW
• Jamie Loomis

• Physical Therapist in Jackson, WY
• Providers in Jackson, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.