Individual provider Active NPI

Lora Shannon John, PT, DPT

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1609541028
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25310 Issued in MD
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220301000107 DC Practitioner - Physical Therapist in Private Practice 5799179156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
DC Luna Care Physical Therapy LLCGroup PAC ID 8325457468, 23 clinicians

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

LicenseStateTypeSpecialty
25310MDMDSocial Worker
PT871758DCMDPhysical Therapist
2305210250VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology and Pelvic Health Physical Therapy PLLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
DC Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 6, 2024 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.

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

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.

Verify at the official NPI Registry.