Active NPI
Lori Ann Arseneault, PT
- Pediatric Physical Therapist
- Avondale, AZ
National Provider Identifier
1316082308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2171
- Practice address
- 12409 W Indian School Rd
Suite #C306
Avondale, AZ 85323-9502 - Phone
- (623) 935-6040
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2171 | AZ | Primary |
Addresses
Primary practice location
12409 W Indian School Rd
Suite #C306
Avondale, AZ 85323-9502
Mailing address
11019 W Amelia Ave
Avondale, AZ 85323-3752
Phone (623) 877-0291
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 |
|---|---|---|---|
| 2171 | AZ | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316082308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11019 W AMELIA AVE",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853233752",
"telephone_number": "623-877-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12409 W INDIAN SCHOOL RD",
"address_2": "SUITE #C306",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853239502",
"telephone_number": "623-935-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARSENEAULT",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AZ",
"license": "2171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.