Individual provider Active NPI

Peter Lorenz Jr., P.T., D.P.T.

  • Physical Therapist
  • Vista, CA
National Provider Identifier
1518375542
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41459 Issued in CA
Practice address
1922 Hacienda Dr
Vista, CA 92081-6024
Phone
(760) 295-4175
Fax
(760) 295-4176
NPI assigned
Jul 22, 2014
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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 41459 CA Primary

Addresses

Primary practice location

1922 Hacienda Dr
Vista, CA 92081-6024

Mailing address

1187 Highbluff Ave.
San Marcos, CA 92078
Phone (760) 807-6964

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141117000057 CA Practitioner - Physical Therapist in Private Practice 6507088119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

Practice addresses (Care Compare)

31515 Rancho Pueblo Rd
Suite 101
Temecula, CA 92592-4837
Phone (951) 303-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41459CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Physical Therapy Physical Therapist CurrentSince Jul 18, 2016 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

577 E Elder St
Ste I
Fallbrook, CA 92028
Phone (760) 723-2687

31764 Casino Dr
Ste 106AB
Lake Elsinore, CA 92530
Phone (951) 471-3300

29798 Haun Rd
Ste 201
Menifee, CA 92586
Phone (951) 679-8500

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

31515 Rancho Pueblo Rd
Ste 101
Temecula, CA 92592
Phone (951) 281-2901

1922 Hacienda Dr
Vista, CA 92081
Phone (760) 295-4175

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1518375542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 HIGHBLUFF AVE.",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "92078",
            "telephone_number": "760-807-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 HACIENDA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816024",
            "telephone_number": "760-295-4175",
            "fax_number": "760-295-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "PETER",
        "name_suffix": "Jr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.