Individual provider Active NPI

Lori Lynne Nagy, D.P.T.

  • Physical Therapist
  • Blairsville, PA
National Provider Identifier
1467558981
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008919L Issued in PA
Practice address
25 Colony Blvd
Blairsville, PA 15717-7971
Phone
(724) 459-1770
NPI assigned
Sep 15, 2006
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 PT008919L PA Primary

Addresses

Primary practice location

25 Colony Blvd
Blairsville, PA 15717-7971

Mailing address

120 Irmc Dr Ste 120
Indiana, PA 15701-3674
Phone (724) 357-7068

Other practice location 1

8 Old William Penn Hwy
Blairsville, PA 15717-7855
Phone (724) 459-6111

Other identifiers 3

IdentifierTypeStateIssuer
134933OtherPAHEALTH AMERICA/HEALTH AS.
833783OtherPAHIGHMARK BLUE SHIELD
7249649OtherPAAETNA - NON HMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000422 PA Practitioner - Physical Therapist in Private Practice 9032273941 Reassigns benefits to 1 organization

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
Indiana Total Therapy, IncGroup PAC ID 1759438856, 17 clinicians

Practice addresses (Care Compare)

2010 Shelly Dr
Indiana, PA 15701-2388
Phone (724) 349-2276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT008919LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Total Therapy Inc Physical Therapist CurrentSince Apr 4, 2009 Accepting new patients
Indiana Total Therapy Physical Therapist CurrentSince Apr 4, 2009 Accepting new patients

Locations

25 Colony Blvd
Blairsville, PA 15717
Phone (724) 388-3814

120 Irmc Dr
Ste 120
Indiana, PA 15701
Phone (724) 357-7068

120 Irmc Dr
Ste 160
Indiana, PA 15701
Phone (724) 357-7068

2010 Shelly Dr
Indiana, PA 15701
Phone (724) 349-2276

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10717/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lori.bozzer.1@10717.direct.athenahealth.com
  • Direct secure messaging: lori.bozzer.2@10717.direct.athenahealth.com

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1467558981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 IRMC DR STE 120",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013674",
            "telephone_number": "724-357-7068",
            "fax_number": "724-801-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLONY BLVD",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177971",
            "telephone_number": "724-459-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Old William Penn Hwy",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "PA",
            "postal_code": "157177855",
            "country_code": "US",
            "telephone_number": "724-459-6111",
            "fax_number": "724-459-0355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGY",
        "first_name": "LORI",
        "middle_name": "LYNNE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008919L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH AS.",
            "identifier": "134933",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "833783",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - NON HMO",
            "identifier": "7249649",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.