Lori Bliven

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010885 Issued in MI

Practice address

183 Peace Blvd
Saint Joseph, MI 49085-9146

Phone

(269) 408-1636

Fax

(269) 429-6451

NPI assigned

Jul 21, 2015

Last updated

Jul 21, 2015By 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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Physical Therapy and Wellness, LLCGroup PAC ID 5597194761, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apex Physical Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Saint Joseph, MI
  • NPI 1851930564

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Southwest Michigan Center for Orthopaedic and Sports Medicine P

  • Specialist
  • Saint Joseph, MI
  • NPI 1104913094
  Medicare reassignment NPD
• Pelvic Wellness and Collective

  • Physical Therapist
  • Saint Joseph, MI
  • NPI 1447127485
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1396120242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 PEACE BLVD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 PEACE BLVD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859146",
            "telephone_number": "269-408-1636",
            "fax_number": "269-429-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIVEN",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Kristin Birris, PSY.D.
• Thomas Ryan Birris, MD
• Jeremy Grant Bishop
• Abby Black, RD, CDE
• Jacob Clarence Blazo
• Angela J Blomgren, PA-C
• Erik Blomquist, DDS
• Blossomland Chiropractic Clinic, P.C.
• David Michael Blue, M.D.
• Kristen Bluell, MOT

• Physical Therapist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.