Individual provider Active NPI

Lorie Echerer-Vanriel, P.T.

  • Physical Therapist
  • Nesconset, NY
National Provider Identifier
1467403618
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0188111 Issued in NY
Practice address
197 Smithtown Blvd
Nesconset, NY 11767-1849
Phone
(631) 863-1290
Fax
(631) 863-3090
NPI assigned
May 12, 2006
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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 0188111 NY Primary

Addresses

Primary practice location

197 Smithtown Blvd
Nesconset, NY 11767-1849

Mailing address

197 Smithtown Blvd
Nesconset, NY 11767-1849
Phone (631) 863-1290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000315 NY Practitioner - Physical Therapist in Private Practice 7810978160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Rehabilitation LLPGroup PAC ID 4789843376, 114 clinicians
T.L.C.Physical Therapy,P.C.Group PAC ID 7810909785, 3 clinicians

Practice addresses (Care Compare)

1 Sunrise Dr
East Setauket, NY 11733-3820
Phone (631) 459-5498

197 Smithtown Blvd
Nesconset, NY 11767-1849
Phone (631) 863-1290

500 N Columbus Ave
Mount Vernon, NY 10552-1335
Phone (914) 266-3796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0188111NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Rehabilitation LLP CurrentSince Aug 4, 2025 Accepting new patients
T.L.C.Physical Therapy,P.C. Physical Therapist CurrentSince Sep 1, 2001 Accepting new patients

Locations

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

197 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 863-1290

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

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, 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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1467403618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 SMITHTOWN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671849",
            "telephone_number": "631-863-1290",
            "fax_number": "631-863-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 SMITHTOWN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671849",
            "telephone_number": "631-863-1290",
            "fax_number": "631-863-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHERER-VANRIEL",
        "first_name": "LORIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0188111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.