Lorissa L Wimberly, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1134013 Issued in TX

Practice address

101 Park St
Hutto, TX 78634-4103

Phone

(512) 846-2266

NPI assigned

Sep 14, 2017

Last updated

Sep 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inhometherapy Inc

  • Physical Therapist
  • King of Prussia, PA
  • NPI 1811736069

  TX

  Medicare reassignment NPD
• Hutto Therapy Center

  • Multi-Specialty Clinic/Center
  • Hutto, TX
  • NPI 1841265295
  NPD (past)
• Williamson Pain Institute PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Cedar Park, TX
  • NPI 1528599370
  NPD (past)

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1578082194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 SPRING PEONY CT",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786608937",
            "telephone_number": "512-670-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PARK ST",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786344103",
            "telephone_number": "512-846-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBERLY",
        "first_name": "LORISSA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1134013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinetta Whitley
• Kathleen Wieman, PHARM.D.
• Kiley Elaine Wilbert
• Becky Sue Williams, M.S., CCC-SLP
• Trissa Camille Williams, LMSW
• Shawn Melanie Winkelman, LCSW
• Marissa Wixson, MA, BCBA, LBA
• Maegan Woytek
• Laura Theresa Yacinthe, PHARMD
• Lauren Yi

• Physical Therapist in Hutto, TX
• Providers in Hutto, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.