Individual provider Active NPI

Lori P. Criswell, P.T.

  • Orthopedic Physical Therapist
  • Naples, FL
National Provider Identifier
1346349057
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 18911 Issued in FL
Practice address
1056 Goodlette Rd N Ste 100
Naples, FL 34102-5488
Phone
(239) 430-0123
Fax
(239) 430-0124
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 PT 18911 FL
Orthopedic Physical Therapist 2251X0800X PT 18911 FL Primary

Addresses

Primary practice location

1056 Goodlette Rd N Ste 100
Naples, FL 34102-5488

Mailing address

1100 Eastham Way Apt 207
Naples, FL 34104-5761
Phone (239) 451-2521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061205000595 FL Practitioner - Physical Therapist in Private Practice 8022017862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Coast Physical Therapy IncGroup PAC ID 3577562313, 2 clinicians

Practice addresses (Care Compare)

3425 10TH St N
Suite 4
Naples, FL 34103-3866
Phone (239) 430-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 18911FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Coast Physical Therapy, Inc. Physical Therapist CurrentSince Aug 1, 2006 Accepting new patients

Locations

1056 Goodlette Rd
Ste 100
Naples, FL 34102
Phone (239) 430-0123

3425 10th St N
Ste 4
Naples, FL 34103
Phone (239) 430-0123

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346349057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 EASTHAM WAY APT 207",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045761",
            "telephone_number": "239-451-2521",
            "fax_number": "239-353-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 GOODLETTE RD N STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025488",
            "telephone_number": "239-430-0123",
            "fax_number": "239-430-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISWELL",
        "first_name": "LORI",
        "middle_name": "P.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 18911",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT 18911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.