Individual provider Active NPI

Laurie Loeffler, DPT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1407403595
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297248 Issued in CA
Practice address
4969 E McKinley Ave Ste 107
Fresno, CA 93727-1968
Phone
(559) 319-1725
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 297248 CA Primary

Addresses

Primary practice location

4969 E McKinley Ave Ste 107
Fresno, CA 93727-1968

Mailing address

9568 N Barton Ave
Fresno, CA 93720-4001
Phone (305) 753-9228

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924003148 CA Practitioner - Physical Therapist in Private Practice 6204166879 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phys Med a Physical Therapy CorporationGroup PAC ID 7214190768, 5 clinicians
Drysdale Physical Therapy, IncGroup PAC ID 9032274220, 3 clinicians

Practice addresses (Care Compare)

4969 E McKinley Ave
Fresno, CA 93727-1968
Phone (559) 319-1725

650 S Zediker Ave
BLDG 2
Parlier, CA 93648-2667
Phone (559) 426-3600

7275 N 1St St
Suite 106
Fresno, CA 93720-2977
Phone (559) 431-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297248CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phys Med a Physical Therapy Corporation Physical Therapist CurrentSince Mar 20, 2024 Accepting new patients
Drysdale Physical Therapy Inc Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Fairbanks & Power Physical Therapy Corp. Physical Therapist CurrentSince May 1, 2022 Accepting new patients

Locations

4969 E McKinley Ave
Ste 106
Fresno, CA 93727
Phone (559) 319-1725

4969 E McKinley Ave
Ste 107
Fresno, CA 93727
Phone (559) 319-1725

7275 N 1st St
Ste 106
Fresno, CA 93720
Phone (559) 431-6700

2 Peters Canyon Rd
Ste 100
Irvine, CA 92606
Phone (949) 679-3988

24422 Avenida de la Carlota
Ste 100
Laguna Hills, CA 92653
Phone (949) 716-2730

650 S Zediker Ave
Bldg 2
Parlier, CA 93648
Phone (559) 426-3600

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1407403595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9568 N BARTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204001",
            "telephone_number": "305-753-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4969 E MCKINLEY AVE STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271968",
            "telephone_number": "559-319-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEFFLER",
        "first_name": "LAURIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.