Individual provider Active NPI

Lorne T Macdonald, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1629153986
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7832 Issued in CO
Practice address
4003 N Weber St
Unit I
Colorado Springs, CO 80907-4410
Phone
(719) 344-9497
Fax
(719) 358-6042
NPI assigned
Oct 26, 2006
Last updated
Oct 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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 7832 CO Primary

Addresses

Primary practice location

4003 N Weber St
Unit I
Colorado Springs, CO 80907-4410

Mailing address

4003 N Weber St
Unit I
Colorado Springs, CO 80907-4410
Phone (719) 344-9497

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000423 CO Practitioner - Physical Therapist in Private Practice 4587649660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phenix Therapies, LLCGroup PAC ID 0345556502, 16 clinicians

Practice addresses (Care Compare)

1625 Medical Ctr PT
Suite 180
Colorado Springs, CO 80907-5798
Phone (719) 344-9497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7832COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phenix Therapies, LLC Physical Therapist CurrentSince Jan 1, 2013 Accepting new patients
Phenix Therapies, LLC Physical Therapist Past Accepting new patients
Phenix Therapies, LLC Physical Therapist Past Accepting new patients
Phenix Therapies, LLC Physical Therapist Past Accepting new patients
Phenix Therapies, LLC Physical Therapist Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 180
Colorado Springs, CO 80907
Phone (719) 344-9497

4003 N Weber St
Unit I
Colorado Springs, CO 80907
Phone (719) 344-9497

Organizations & group practices 5

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1629153986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 N WEBER ST",
            "address_2": "UNIT I",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074410",
            "telephone_number": "719-344-9497",
            "fax_number": "719-358-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 N WEBER ST",
            "address_2": "UNIT I",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074410",
            "telephone_number": "719-344-9497",
            "fax_number": "719-358-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "LORNE",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.