Active NPI
Lori R Ross, PT
- Physical Therapist
- Louisville, KY
National Provider Identifier
1417997651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007618
- Practice address
- 680 S 4TH St
Louisville, KY 40202-2407 - Phone
- (440) 478-4919
- Fax
- (330) 928-4521
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007618 | OH | Primary |
Addresses
Primary practice location
680 S 4TH St
Louisville, KY 40202-2407
Mailing address
680 S 4TH St
Louisville, KY 40202-2407
Phone (440) 478-4919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7618 | Other | OH | PT # |
Other names 1
- Ms. Lori R Notarian
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 |
|---|---|---|---|
| PT007618 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Physical Therapy & Sports Performance | Physical Therapist | Past | Accepting new patients |
| Southwest Orthopaedics, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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
- Medina, OH
- NPI 1528750643
-
- Orthopaedic Surgery Physician
- Parma, OH
- NPI 1457393928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1417997651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022407",
"telephone_number": "440-478-4919",
"fax_number": "330-928-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022407",
"telephone_number": "440-478-4919",
"fax_number": "330-928-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "LORI",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT007618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT #",
"identifier": "7618",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "NOTARIAN",
"middle_name": "R",
"prefix": "MS.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.