Active NPI
Lori Chanelle Chase, PHYSICAL THERAPIST
- Human Factors Physical Therapist
- Sun City Center, FL
National Provider Identifier
1689207078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Human Factors Physical Therapist
- License
- 30529
- Practice address
- 129 S Pebble Beach Blvd
Sun City Center, FL 33573-5718 - Phone
- (813) 633-6800
- NPI assigned
- Feb 13, 2020
- Last updated
- Feb 13, 2020
- 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 |
|---|---|---|---|---|
| Human Factors Physical Therapist | 2251H1300X | 30529 | FL | Primary |
Addresses
Primary practice location
129 S Pebble Beach Blvd
Sun City Center, FL 33573-5718
Mailing address
10420 N McKinley Dr
2306
Tampa, FL 33612
Phone (301) 346-4120
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 |
|---|---|---|---|
| 30529 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1689207078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10420 N MCKINLEY DR",
"address_2": "2306",
"city": "TAMPA",
"state": "FL",
"postal_code": "33612",
"telephone_number": "301-346-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 S PEBBLE BEACH BLVD",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335735718",
"telephone_number": "813-633-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "LORI",
"middle_name": "CHANELLE",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251H1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Human Factors",
"state": "FL",
"license": "30529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City Center, FL
- CCRC Opco - Sun City Center, LLC (Plaza West Health Center)
- Cedar Mountain Chartered
- Center for Radiation Oncology of Tampa Bay in (Center for Radiation Oncology)
- Darlene Marie Chamorro, DPT
- Renette Charles, ARNP
- Kadambari Kishor Chavan, PT
- Patricia Ciccone, MS, OTR/L
- Cynthia E Coffey, LPN
- Compassus BSMH St. Petersburg HHA I, LLC (Bon Secours Home Care by Compassus)
- Gregory Gerard Cook, D.P.M.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.