Lori Vanderhoof, CPO, LPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

POR330 Issued in FL

Practice address

2939 Martin Luther King Jr Blvd
Panama City, FL 32405-4411

Phone

(850) 248-0016

Fax

(850) 248-0017

NPI assigned

Nov 26, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1487051991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BLACK DIAMOND DR APT 1406",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324070270",
            "telephone_number": "936-777-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054411",
            "telephone_number": "850-248-0016",
            "fax_number": "850-248-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHOOF",
        "first_name": "LORI",
        "credential": "CPO, LPO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "FL",
            "license": "POR330",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "FL",
            "license": "POR330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Valerio, DPT
• Jennifer Valle
• Jennifer Van Berkum, LCSW
• Nicole Diane Van Pelt, PT
• Caryl Ann Vandeboe, CCC-A
• Tracy Lynee Vanderschaaf, R, M, MR
• Suellyn Vanderslice, PHD
• Kelly Vanhuisen, LMHC
• Samantha D Vanlandingham
• Tanya Dee Varnum, LMHC

• Prosthetist in Panama City, FL
• Providers in Panama City, FL by specialty
• Prosthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.