Individual provider Active NPI

Lori B Brandt, PT

  • Physical Therapist
  • Ormond Beach, FL
National Provider Identifier
1346225893
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38042 Issued in FL
Practice address
725 W Granada Blvd
Ste 35
Ormond Beach, FL 32174
Phone
(386) 788-2300
Fax
(386) 944-6622
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013721 PA
Physical Therapist 225100000X PT38042 FL Primary

Addresses

Primary practice location

725 W Granada Blvd
Ste 35
Ormond Beach, FL 32174

Mailing address

725 W Granada Blvd
Ste 22
Ormond Beach, FL 32174
Phone (386) 788-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220323002910 FL Practitioner - Physical Therapist in Private Practice 7810382108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Neurology IncGroup PAC ID 4082669478, 9 clinicians

Practice addresses (Care Compare)

725 W Granada Blvd
Suite 22
Ormond Beach, FL 32174-9406
Phone (386) 788-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013721PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Neurology, Inc. CurrentSince Mar 7, 2022 Accepting new patients
Rehabclinics Galaxy Inc Past Accepting new patients
Novacare Outpatient Rehabilitation East Inc Past Accepting new patients

Locations

760 S Volusia Ave
Ste 400
Orange City, FL 32763
Phone (386) 774-0220

725 W Granada Blvd
Ste 22
Ormond Beach, FL 32174
Phone (386) 274-0097

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1346225893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W GRANADA BLVD",
            "address_2": "STE 22",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-788-2300",
            "fax_number": "386-944-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W GRANADA BLVD",
            "address_2": "STE 35",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-788-2300",
            "fax_number": "386-944-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "LORI",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013721",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.