Individual provider Active NPI

Liane Elizabeth Loots, P.T.

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1609149061
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 13476 Issued in FL
Practice address
1500 NW 10TH Ave
Suite 201
Boca Raton, FL 33486-1312
Phone
(561) 338-6100
Fax
(561) 338-6434
NPI assigned
Feb 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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 PT 13476 FL Primary

Addresses

Primary practice location

1500 NW 10TH Ave
Suite 201
Boca Raton, FL 33486-1312

Mailing address

1500 NW 10TH Ave
Suite 201
Boca Raton, FL 33486-1312
Phone (561) 338-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130222000159 FL Practitioner - Physical Therapist in Private Practice 6901051077 Reassigns benefits to 2 organizations

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
Kineticore Rehab Inc.Group PAC ID 9133624554, 4 clinicians

Practice addresses (Care Compare)

8480 Rattlesnake Hammock Rd Rd
Naples, FL 34114-2503
Phone (239) 401-3144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 13476FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kineticore Rehab Inc. Physical Therapist CurrentSince Jul 20, 2025 Accepting new patients
Optimized Therapy Transitions, LLC Physical Therapist CurrentSince Nov 27, 2023 Accepting new patients
Rudi E Ide & Assoc Inc Physical Therapist PastSince May 28, 1999 Accepting new patients
On Site Dermatology LLC PastSince Jul 20, 2025 Accepting new patients

Locations

8480 Rattlesnake Hammock Rd
#R
Naples, FL 34114
Phone (239) 401-3144

8480 Rattlesnake Hammock Rd
Naples, FL 34114
Phone (239) 401-3144

Organizations & group practices 4

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": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1609149061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE",
            "address_2": "SUITE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861312",
            "telephone_number": "561-338-6100",
            "fax_number": "561-338-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE",
            "address_2": "SUITE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861312",
            "telephone_number": "561-338-6100",
            "fax_number": "561-338-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOTS",
        "first_name": "LIANE",
        "middle_name": "ELIZABETH",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 13476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.