Individual provider Active NPI

Lori L Wheat, DOCTORATE OF PHYSICA

  • Physical Therapist
  • Natchitoches, LA
National Provider Identifier
1730208570
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01926 Issued in LA
Practice address
733 Keyser Ave
Ste 100
Natchitoches, LA 71457-0039
Phone
(318) 238-4480
Fax
(318) 238-4492
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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 01926 LA Primary

Addresses

Primary practice location

733 Keyser Ave
Ste 100
Natchitoches, LA 71457-0039

Mailing address

733 Keyser Ave
Ste 100
Natchitoches, LA 71457-0039
Phone (318) 238-4480

Other identifiers 1

IdentifierTypeStateIssuer
1730208570MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100422000929 LA Practitioner - Physical Therapist in Private Practice 0042347569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lori L. Wheat, PT, Ocs, Inc.Group PAC ID 9537296058, 2 clinicians

Practice addresses (Care Compare)

733 Keyser Ave
Suite 100
Natchitoches, LA 71457-0039
Phone (318) 238-4480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01926LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lori L. Wheat, PT, Ocs, Inc. CurrentSince Feb 8, 2007 Accepting new patients
Guidroz Physical Therapy LLC Physical Therapist Past Accepting new patients
Lori L Wheat PT, Ocs Physical Therapist PastSince Jun 21, 2020 Accepting new patients

Locations

138 E 5th St
Natchitoches, LA 71457
Phone (318) 352-4477

733 Keyser Ave
Ste 100
Natchitoches, LA 71457
Phone (318) 214-4296

Organizations & group practices 3

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1730208570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 KEYSER AVE",
            "address_2": "STE 100",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714570039",
            "telephone_number": "318-238-4480",
            "fax_number": "318-238-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 KEYSER AVE",
            "address_2": "STE 100",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714570039",
            "telephone_number": "318-238-4480",
            "fax_number": "318-238-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEAT",
        "first_name": "LORI",
        "middle_name": "L",
        "credential": "DOCTORATE OF PHYSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730208570",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.