Active NPI
Lora Shannon John, PT, DPT
- Physical Therapist
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25310
- Practice address
- 4401 E West Hwy Ste 202
Bethesda, MD 20814-4541 - Phone
- (202) 987-3411
- Fax
- (202) 618-5714
- NPI assigned
- Aug 9, 2021
- Last updated
- Mar 15, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT871758 | DC | |
| Physical Therapist | 225100000X | 2305210250 | VA | |
| Physical Therapist | 225100000X | 25310 | MD | Primary |
Addresses
Primary practice location
4401 E West Hwy Ste 202
Bethesda, MD 20814-4541
Mailing address
3881 Porter St NW Apt B296
Washington, DC 20016-2973
Phone (309) 824-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1717 K St NW
Suite 900
Washington, DC 20006-5349
Phone (916) 232-3047
4401 E W Hwy
Suite 202
Bethesda, MD 20814-4541
Phone (309) 824-2323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25310 | MD | MD | Social Worker |
| PT871758 | DC | MD | Physical Therapist |
| 2305210250 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology and Pelvic Health Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| DC Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1717 K St NW
Ste 900
Washington, DC 20006
Phone (916) 232-3047
4401 East West Hwy
Ste 202
Bethesda, MD 20814
Phone (202) 987-3411
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.
-
- Physical Therapist
- Washington, DC
- NPI 1427638832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1609541028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3881 PORTER ST NW APT B296",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162973",
"telephone_number": "309-824-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 E WEST HWY STE 202",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144541",
"telephone_number": "202-987-3411",
"fax_number": "202-618-5714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "LORA",
"middle_name": "SHANNON",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT871758",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305210250",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
- John M Kelly DDS PC
- John P Lydon DPM (Bethesda Ambulatory Surgical Center)
- John P Lydon DPM (Bethesda Ambulatory Surgical Center)
- John P. Lydon, D.P.M.
- Joylene Iris John-Sowah, MD
- Stefan Joseph John, MD
- Johns Hopkins Community Physicians (JHCP - 6410 Rockledge Drive STE 200)
- Johns Hopkins Community Physicians (JHCP - 6420 Rockledge Dr)
- Johns Hopkins Community Physicians (JHCP - 8600 Old Georgetown Rd)
- Johns Hopkins Community Physicians (JHCP - 7315 Wisconsin Ave)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.