Lori Valentine Wilson, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT00007929 Issued in WA

Practice address

900 Pacific Ave
First Floor
Everett, WA 98201-4168

Phone

(425) 258-7311

Fax

(425) 258-7618

NPI assigned

Jul 25, 2011

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 names 1

• Lori Wilson Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1730467705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-366-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PACIFIC AVE",
            "address_2": "FIRST FLOOR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014168",
            "telephone_number": "425-258-7311",
            "fax_number": "425-258-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LORI",
        "middle_name": "VALENTINE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WA",
            "license": "PT00007929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwilson129234@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "900 Pacific Ave",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982014168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "WILSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Anne Wilson, D.C.
• Julianne Elizabeth Wilson, LMHC
• Lauren F Wilson
• Linda Wilson, RPH
• Lisa Michele Wilson, M.A., CCC-SLP
• Meredith Ashlyn Wilson, M.A., CCC-SLP
• Sean Timothy Wilson, PHARM.D.
• Sharon J. Wilson, ARNP
• Stanley D Wilson, PHD
• Susan Louise Wilson, CNM

• Pediatric Physical Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Pediatric Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.