Individual provider Active NPI

Lori Denise McLean, PT

  • Physical Therapist
  • Oakhurst, CA
National Provider Identifier
1629151063
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13880 Issued in CA
Practice address
39930 Sierra Way
Suite a
Oakhurst, CA 93644
Phone
(559) 683-0974
Fax
(559) 683-0973
NPI assigned
Oct 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 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 PT13880 CA Primary

Addresses

Primary practice location

39930 Sierra Way
Suite a
Oakhurst, CA 93644

Mailing address

39930 Sierra Way
Suite a
Oakhurst, CA 93644-8304
Phone (559) 683-0974

Other identifiers 1

IdentifierTypeStateIssuer
PT13880OtherCAPT BOARD OF CA

Other names 1

  • Miss Lori Denise Cucuk Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000445 CA Practitioner - Physical Therapist in Private Practice 5294637450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakhurst Physical Therapy IncGroup PAC ID 3678475837, 4 clinicians

Practice addresses (Care Compare)

39930 Sierra Way
Suite a
Oakhurst, CA 93644-8304
Phone (559) 683-0974

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
87.34
Improvement activities
40
Cost
71.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT13880CAMDPhysical Therapist
13880CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakhurst Physical Therapy Inc Physical Therapist CurrentSince Feb 9, 2000 Accepting new patients

Locations

4011 N Fresno St
Ste 103
Fresno, CA 93726
Phone (209) 224-2100

39930 Sierra Way
Ste A
Oakhurst, CA 93644
Phone (559) 683-0974

40282 Highway 41
Ste 6
Oakhurst, CA 93644
Phone (559) 683-0974

Organizations & group practices 1

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1629151063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39930 SIERRA WAY",
            "address_2": "SUITE A",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936448304",
            "telephone_number": "559-683-0974",
            "fax_number": "559-683-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39930 SIERRA WAY",
            "address_2": "SUITE A",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "93644",
            "telephone_number": "559-683-0974",
            "fax_number": "559-683-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "LORI",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT BOARD OF CA",
            "identifier": "PT13880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "CUCUK",
            "middle_name": "DENISE",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakhurst, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.