Lorna Kredell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0001652 Issued in DE

Practice address

404 E Front St
Laurel, DE 19956-1741

Phone

(302) 280-6920

Fax

(302) 280-6921

NPI assigned

Nov 3, 2023

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

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Physical Therapy, LLC 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lakeside Physical Therapy, LLC

  • Rehabilitation Practitioner
  • Laurel, DE
  • NPI 1184854929

  DE, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1295508992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E FRONT ST",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199561741",
            "telephone_number": "302-280-6920",
            "fax_number": "302-280-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E FRONT ST",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199561741",
            "telephone_number": "302-280-6920",
            "fax_number": "302-280-6921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24488 Sussex Hwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199738470",
            "country_code": "US",
            "telephone_number": "302-990-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREDELL",
        "first_name": "LORNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0001652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Keglovits
• Nicole Kelley
• Joseph Hill Kim, D.O.
• Elizabeth Anna Kimbler, R.N.
• Myungsung Ko, DPT
• Laura E Lafazia, LMT, MMP
• Lakeside Physical Therapy, LLC
• Naomi Lang
• Laurel Fire Department Inc.
• Laurel Health Services Inc

• All providers in Laurel, DE
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.