Active NPI
Jordan Lormor, LPTA
- Physical Therapist
- Hot Springs, AR
National Provider Identifier
1528660800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1398569
- Practice address
- 185 Cornerstone LN
Hot Springs, AR 71913-6500 - Phone
- (501) 525-4855
- NPI assigned
- Nov 12, 2020
- Last updated
- Oct 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1398569 | TX | Primary |
| Physical Therapy Assistant | 225200000X | 2156700 | TX |
Addresses
Primary practice location
185 Cornerstone LN
Hot Springs, AR 71913-6500
Mailing address
1620 Ringtail Dr
Wylie, TX 75098-6696
Phone (469) 879-2195
Other practice location 1
3501 Catalpa Drive
Wylie, TX 75098
Phone (817) 637-7946
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1398569 | Other | TX | PHYSICAL THERAPIST |
| 2156700 | Other | TX | LICENSED PHYSICAL THERAPIST ASSISTANT |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1398569 | TX | MD | Physical Therapist |
| 2156700 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mango Physical Therapy & Wellness, PLLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Wylie, TX
- NPI 1083492771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1528660800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 RINGTAIL DR",
"city": "WYLIE",
"state": "TX",
"postal_code": "750986696",
"telephone_number": "469-879-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 CORNERSTONE LN",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136500",
"telephone_number": "501-525-4855"
}
],
"practiceLocations": [
{
"address_1": "3501 Catalpa Drive",
"address_purpose": "LOCATION",
"city": "Wylie",
"state": "TX",
"postal_code": "75098",
"country_code": "US",
"telephone_number": "817-637-7946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LORMOR",
"first_name": "JORDAN",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-12",
"last_updated": "2024-10-09",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1398569",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2156700",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "1398569",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PHYSICAL THERAPIST ASSISTANT",
"identifier": "2156700",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.