Individual provider Active NPI

Bret Michael Lorenzo, DPT

  • Physical Therapist
  • Youngstown, OH
National Provider Identifier
1598025199
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013679 Issued in OH
Practice address
1397 S Canfield Niles Rd
Youngstown, OH 44515
Phone
(330) 953-0129
Fax
(330) 953-0650
NPI assigned
May 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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 PT013679 OH Primary

Addresses

Primary practice location

1397 S Canfield Niles Rd
Youngstown, OH 44515

Mailing address

PO Box 392573
Pittsburgh, PA 15251-9573
Phone (724) 343-4060

Other practice location 1

830 Falls Creek Dr
Vandalia, OH 45377-8600
Phone (937) 890-9235

Other practice location 2

225 E State Route 14 Ste B001
Columbiana, OH 44408-8490
Phone (330) 482-3680

Other identifiers 1

IdentifierTypeStateIssuer
0067308MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120604000258 OH Practitioner - Physical Therapist in Private Practice 0840454880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tudor Home Therapies IncGroup PAC ID 1850290644, 18 clinicians

Practice addresses (Care Compare)

7645 Market St
Suite 110
Boardman, OH 44512-6098
Phone (330) 965-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tudor Home Therapies Inc Physical Therapist CurrentSince Jul 16, 2018 Accepting new patients
Tu Dor Home Therapies Inc Physical Therapist CurrentSince Jul 16, 2018 Accepting new patients
Tudor Home Therapies Inc Physical Therapist Past Accepting new patients
Tu Dor Home Therapies Inc Physical Therapist Past Accepting new patients
Tudor Home Therapies, Inc Physical Therapist Past Accepting new patients
Tu Dor Home Therapies Inc Physical Therapist Past Accepting new patients
Chiropractic and Functional Neurology Center LLC PastSince Nov 1, 2017 Accepting new patients
Tudor Home Therapies, Inc Physical Therapist Past Accepting new patients

Locations

8215 W 108th Ter
Overland Park, KS 66210

225 E State Route 14
Ste B001
Columbiana, OH 44408
Phone (330) 482-3680

1098 N Ellsworth Ave
Salem, OH 44460
Phone (234) 567-4687

1397 S Canfield Niles Rd
Youngstown, OH 44515
Phone (330) 953-0129

1397 S Canfield Niles Rd
Unit 2
Youngstown, OH 44515
Phone (330) 953-0129

2959 Canfield Rd
Ste 7
Youngstown, OH 44511
Phone (330) 799-1680

7645 Market St
Ste 110
Youngstown, OH 44512

2860 Canfield Rd
Youngstown, OH 44511
Phone (330) 792-1118

2000 Westinghouse Dr
Ste 200
Cranberry Twp, PA 16066
Phone (724) 584-5732

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1598025199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "724-343-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 S CANFIELD NILES RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44515",
            "telephone_number": "330-953-0129",
            "fax_number": "330-953-0650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Falls Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "OH",
            "postal_code": "453778600",
            "country_code": "US",
            "telephone_number": "937-890-9235",
            "fax_number": "937-890-9239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 E State Route 14 Ste B001",
            "address_purpose": "LOCATION",
            "city": "Columbiana",
            "state": "OH",
            "postal_code": "444088490",
            "country_code": "US",
            "telephone_number": "330-482-3680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "BRET",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067308",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.