Active NPI
Lori Lashomb, PT
- Physical Therapist
- Boynton Beach, FL
National Provider Identifier
1629167069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 1114668
- Practice address
- 2500 Quantum Lakes Dr
Suite 108
Boynton Beach, FL 33426-8324 - Phone
- (561) 244-3627
- Fax
- (561) 244-9627
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 1114668 | TX | Primary |
Addresses
Primary practice location
2500 Quantum Lakes Dr
Suite 108
Boynton Beach, FL 33426-8324
Mailing address
2500 Quantum Lakes Dr
Suite 108
Boynton Beach, FL 33426-8324
Phone (561) 244-3627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 1114668 | Other | TX | PHYSICAL THERAPIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 1114668 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midland Careservices LLC | Physical Therapist | Past | Accepting new patients |
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": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629167069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 QUANTUM LAKES DR",
"address_2": "SUITE 108",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268324",
"telephone_number": "561-244-3627",
"fax_number": "561-244-9627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 QUANTUM LAKES DR",
"address_2": "SUITE 108",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268324",
"telephone_number": "561-244-3627",
"fax_number": "561-244-9627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASHOMB",
"first_name": "LORI",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "PT 1114668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "PT 1114668",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.