Individual provider Active NPI

Lori Suzanne Reaney, DPT

  • Physical Therapist
  • Woodburn, OR
National Provider Identifier
1619310638
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6394 Issued in OR
Practice address
1359 N Pacific Hwy
Woodburn, OR 97071-3617
Phone
(503) 982-0232
Fax
(503) 982-5637
NPI assigned
Apr 9, 2013
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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 6394 OR Primary

Addresses

Primary practice location

1359 N Pacific Hwy
Woodburn, OR 97071-3617

Mailing address

1359 N Pacific Hwy
Woodburn, OR 97071-3617
Phone (503) 982-0232

Other identifiers 1

IdentifierTypeStateIssuer
6394OtherORLICENSE NUMBER

Other names 1

  • Lori Suzanne Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Physical & Hand Therapy II Physical Therapist Past Accepting new patients
Capitol Physical & Hand Therapy II Physical Therapist Past Accepting new patients

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1619310638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 N PACIFIC HWY",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970713617",
            "telephone_number": "503-982-0232",
            "fax_number": "503-982-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 N PACIFIC HWY",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970713617",
            "telephone_number": "503-982-0232",
            "fax_number": "503-982-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REANEY",
        "first_name": "LORI",
        "middle_name": "SUZANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "6394",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "WILSON",
            "middle_name": "SUZANNE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.