Active NPI
Lori Jeanne Wigley, P.T.
- Physical Therapist
- Ramona, CA
National Provider Identifier
1376626176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294206
- Practice address
- 1338 Main St
Ramona, CA 92065-2127 - Phone
- (760) 789-1400
- Fax
- (760) 789-1401
- NPI assigned
- Oct 23, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3341 | OR | |
| Physical Therapist | 225100000X | PT00010169 | WA | |
| Physical Therapist | 225100000X | 294206 | CA | Primary |
Addresses
Primary practice location
1338 Main St
Ramona, CA 92065-2127
Mailing address
15654 Thornbush Rd
Ramona, CA 92065-4823
Phone (541) 310-0636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022414003 | Other | OR | REGENCE BLUECROSS/BLUESHE |
Other names 1
- Lori Jeanne Hirschkorn
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00010169 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Physical Therapy | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Murrieta, CA
- NPI 1750559431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1376626176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15654 THORNBUSH RD",
"city": "RAMONA",
"state": "CA",
"postal_code": "920654823",
"telephone_number": "541-310-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 MAIN ST",
"city": "RAMONA",
"state": "CA",
"postal_code": "920652127",
"telephone_number": "760-789-1400",
"fax_number": "760-789-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGLEY",
"first_name": "LORI",
"middle_name": "JEANNE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3341",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010169",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUECROSS/BLUESHE",
"identifier": "022414003",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "HIRSCHKORN",
"middle_name": "JEANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ramona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.