Lori Ann Dennett, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012919 Issued in MI

Practice address

204 W Upton Ave
Reed City, MI 49677-1189

Phone

(231) 465-4289

Fax

(231) 465-4292

NPI assigned

Dec 31, 2008

Last updated

Aug 9, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1356587018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W UPTON AVE",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496771189",
            "telephone_number": "231-465-4289",
            "fax_number": "231-465-4292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3837 US-10 Ludington",
            "address_purpose": "LOCATION",
            "city": "Ludington",
            "state": "MI",
            "postal_code": "49431",
            "country_code": "US",
            "telephone_number": "231-674-5815",
            "fax_number": "231-683-4705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "194 E 82nd St",
            "address_purpose": "LOCATION",
            "city": "Newaygo",
            "state": "MI",
            "postal_code": "493378004",
            "country_code": "US",
            "telephone_number": "231-652-5913",
            "fax_number": "231-652-5914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNETT",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Reed City, MI
• Providers in Reed City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.