Lori Christine Van Dusen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009546 Issued in WA

Practice address

3801 5TH St. SE
Suite 220
Puyallup, WA 98374

Phone

(253) 445-4258

Fax

(253) 445-4724

NPI assigned

Aug 2, 2006

Last updated

Jun 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dupont Physical Therapy Inc PSGroup PAC ID 2365749470, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dupont Physical Therapy, Inc., P.S.

  dba Dupont Physical Therapy

  • Physical Therapist
  • Dupont, WA
  • NPI 1578935128
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1649287582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH STREET",
            "address_2": "SUITE 3A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-450-9474",
            "fax_number": "425-635-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 5TH ST. SE",
            "address_2": "SUITE 220",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98374",
            "telephone_number": "253-445-4258",
            "fax_number": "253-445-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DUSEN",
        "first_name": "LORI",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "LI0189941",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8409393",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Angela Valenzulez
• Ruisdael Vallejo Pacheco
• Valley Terrace Operations, LLC (Life Care Center of South Hill)
• Valley Terrace Operations, LLC (Life Care Center of Puyallup)
• Anthony Beaumont Van Bergeyk, MD
• Jeremy Wade Van Gieson, D.O.
• Denice Van Heeringen
• Loan Van, ARNP
• Denise L. Vanaman, R.N.
• Rachel Vanarendonk Harris, PT

• Physical Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.