Individual provider Active NPI

Lorrie Ann Laurel, P.T.

  • Physical Therapist
  • Chipley, FL
National Provider Identifier
1760444657
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14591 Issued in FL
Practice address
1567 Main St
Chipley, FL 32428-6948
Phone
(850) 638-3387
Fax
(850) 415-1967
NPI assigned
Apr 5, 2006
Last updated
May 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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 PT14591 FL Primary

Addresses

Primary practice location

1567 Main St
Chipley, FL 32428-6948

Mailing address

1567 Main St
Chipley, FL 32428-6948
Phone (850) 638-3387

Other practice location 1

1414 Main St
Suite 3A
Chipley, FL 32428-6952
Phone (850) 638-3387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050128000185 FL Practitioner - Physical Therapist in Private Practice 8426026444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chipley Physical Therapy IncGroup PAC ID 1355319377, 3 clinicians
Marianna Physical and Aquatic Therapy LLCGroup PAC ID 1254721319, 2 clinicians

Practice addresses (Care Compare)

1567 Main St
Chipley, FL 32428-6948
Phone 8506383387105

4285 Lafayette St
Marianna, FL 32446-2919
Phone (850) 482-0080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Chipley Physical Therapy, Inc Physical Therapist CurrentSince Sep 2, 2021 Accepting new patients
Absolute Physical & Aquatic Therapy, LLC Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Absolute Physical & Aquattic Therapy LLC Physical Therapist Current Accepting new patients
Marianna Physical & Aquatic Therapy LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Chipley Physical Therapy Inc Physical Therapist CurrentSince Sep 2, 2021 Accepting new patients

Locations

1812 S Waukesha St
Bonifay, FL 32425
Phone (850) 547-4646

3269 Highway 90
Bonifay, FL 32425
Phone (850) 547-9991

1367 S Railroad Ave
#D
Chipley, FL 32428
Phone (850) 638-3387

1414 Main St
Ste 3A
Chipley, FL 32428
Phone (850) 638-3387

1567 Main St
Chipley, FL 32428
Phone (850) 638-3387

1695 Main St
Chipley, FL 32428
Phone (850) 638-3387

4285 Lafayette St
Marianna, FL 32446
Phone (850) 482-0080

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1760444657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 MAIN ST",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286948",
            "telephone_number": "850-638-3387",
            "fax_number": "850-415-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 MAIN ST",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286948",
            "telephone_number": "850-638-3387",
            "fax_number": "850-415-1967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 Main St",
            "address_2": "Suite 3A",
            "address_purpose": "LOCATION",
            "city": "Chipley",
            "state": "FL",
            "postal_code": "324286952",
            "country_code": "US",
            "telephone_number": "850-638-3387",
            "fax_number": "850-415-1967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUREL",
        "first_name": "LORRIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chipley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.