Individual provider Active NPI

Lori A. Blondell, P.T.

  • Physical Therapist
  • Bradenton, FL
National Provider Identifier
1417182965
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019881 Issued in PA
Practice address
4831 27TH St W
Bradenton, FL 34207
Phone
(941) 417-8303
Fax
(941) 417-8301
NPI assigned
May 27, 2009
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 PT019881 PA Primary

Addresses

Primary practice location

4831 27TH St W
Bradenton, FL 34207

Mailing address

4831 27TH St W
Bradenton, FL 34207
Phone (941) 417-8303

Other practice location 1

5860 Ranch Lake Blvd Ste 102
Bradenton, FL 34202-3719
Phone (941) 417-8300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210422002145 FL Practitioner - Physical Therapist in Private Practice 8820149917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Sarasota, FL 34236
Phone (610) 360-3824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019881PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calibrated Health LLC Physical Therapist CurrentSince Nov 24, 2024 Accepting new patients
Lori Blondell DPT LLC Physical Therapist CurrentSince May 3, 2022 Accepting new patients
Orthopaedic Associates of Allentown Physical Therapist Past Accepting new patients

Locations

4831 27th St W
Bradenton, FL 34207
Phone (941) 212-1444

5860 Ranch Lake Blvd
Ste 102
Bradenton, FL 34202
Phone (941) 212-1444

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1417182965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 27TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34207",
            "telephone_number": "941-417-8303",
            "fax_number": "941-417-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 27TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34207",
            "telephone_number": "941-417-8303",
            "fax_number": "941-417-8301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5860 Ranch Lake Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342023719",
            "country_code": "US",
            "telephone_number": "941-417-8300",
            "fax_number": "941-417-8301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLONDELL",
        "first_name": "LORI",
        "middle_name": "A.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2021-04-07",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.